Carrier Documentation
Following are the answers
to some of the frequently asked questions about electronic claims
to insurance carriers, as well
as
the
documentation
that
we have collected for each carrier.
You may need either a word processing program, or Adobe Acrobat
Reader
to read some of these forms.
Please note that these forms are
provided as a courtesy and convenience to our Validator users,
and while we try to keep
the forms as up to date as possible, carriers often change the forms
without any notice, so it might not be a bad idea to contact the
carrier
before mailing your enrollment forms in to assure you have the correct
form.
Blue Cross of California
| Web Site |
|
Payer ID: |
47198 |
| EDI Contact |
800-227-3983 |
State(s) |
CA |
|
Documentation: |
|
Blue Shield of California
BCBS of Florida Medicare
| Web Site |
https://
|
Payer ID: |
|
| EDI Contact |
909-791-8767 |
State(s) |
Florida |
| Documentation: |
Forms not available |
Empire BCBS NEIC Quick Link
| Web Site |
https://
|
Payer ID: |
NEIC
|
| EDI Contact |
315-488-0080
|
State(s) |
New York
|
|
Documentation:
|
Forms not available |
Empire Blue Cross Blue Shield
Empire Blue Cross Medicare
| Web Site |
https://www.empiremedicare.com/
|
Payer ID: |
00803
|
| EDI Contact |
315-488-0080
|
State(s) |
New York, District of Columbia
and Delaware
|
|
Documentation:
|
Forms not available |
GHI Medicare NY
HGS Administrators Medicare
| Web Site |
https://
|
Payer ID: |
00805
|
| EDI Contact |
717-763-6722
|
State(s) |
New Jersey
|
|
Documentation:
|
|
HGS Administrators Medicare
| Web Site |
https://
|
Payer ID: |
00865
|
| EDI Contact |
717-763-6722
|
State(s) |
Pennsylvania
|
|
Documentation:
|
|
Medi-CAL: California Medicaid
Medicaid : New York
| Web Site |
http://www.nyhipaadesk.com
|
Payer ID: |
141797357
|
| EDI Contact |
518-447-9256
|
State(s) |
New York
|
|
Documentation:
|
Forms not available |
National Heritage Insurance Company
| Web Site |
http://www.nhicmedicare.com
|
Payer ID: |
31140
|
| EDI Contact |
781-749-7745
|
State(s) |
Massachusetts
Maine, New Hampshire, and Vermont
|
|
Documentation:
|
Forms not available |
NHIC Medicare (CAN)
NHIC Medicare (CAS)
Noridian Medicare
| Web Site |
http://www.noridianmedicare.com
|
Payer ID: |
0011
|
| EDI Contact |
800-967-7902
|
State(s) |
North Dakota,
Sout Dakota, Colorado, and Wyoming
|
|
Documentation:
|
Forms not available |
Noridian Medicare
| Web Site |
http://www.noridianmedicare.com |
Payer ID: |
0012
|
| EDI Contact |
800-967-7902
|
State(s) |
Arkansas, Oregon,
and Washington
|
|
Documentation:
|
Forms not available |
Noridian Medicare
Palmetto GBA Medicare
| Web Site |
www.
|
Payer ID: |
00833
|
| EDI Contact |
614-249-0340
|
State(s) |
Ohio and West
Virginia
|
|
Documentation:
|
Forms not available |
THIN - Commercial Claims
Tricare - Champus
Wisconsin Physicians Services - Champus
|