• P = Professional
  • I = Institutional
  • ERA = Electronic Remittance Advice (835)
PayerID Name Claim Type Transactions Available Enrollment Required State
128WV Aetna Better Health of West Virginia P Claims, Secondary Claims, Remittance, Eligibility ERA WV
128WV Aetna Better Health of West Virginia P Claims, Secondary Claims, Remittance, Eligibility ERA WV
128WV Aetna Better Health of West Virginia P Claims, Secondary Claims, Remittance, Eligibility ERA WV
128WV Aetna Better Health of West Virginia I Claims, Secondary Claims, Remittance, Eligibility ERA WV
12956 Empower Arkansas P Claims, Secondary Claims, Remittance, ClaimStatus Request/Response ERA FL
12956 Empower Arkansas P Claims, Secondary Claims, Remittance, ClaimStatus Request/Response ERA FL
12956 Empower Arkansas I Claims, Secondary Claims, Remittance, ClaimStatus Request/Response ERA FL
12K81 MDWise (For Dates of Service prior to 01.01.2017 I Claims NO All
12X09 MOLINA MEDICAID - MNS P Remittance ERA All
12X09 MOLINA MEDICAID - MNS I Claims, Secondary Claims, Remittance ERA All
12X18 Univera WNY P Remittance ERA All
12X18 Univera WNY I Claims, Secondary Claims, Remittance ERA All
12X19 Univera Traditional PPO I Claims, Secondary Claims NO All
12X42 Banner Health P Claims, Secondary Claims, Remittance ERA All
12X42 Banner Health I Claims, Secondary Claims, Remittance ERA All
12X42 Banner Health P Claims, Secondary Claims, Remittance ERA All
12X56 Value Options I Claims NO All
13010 Smokey Mountain Center I Claims, Secondary Claims, Remittance Claims,ERA All
13010 Smokey Mountain Center P Claims, Secondary Claims, Remittance Claims,ERA All
13010 Smokey Mountain Center P Claims, Secondary Claims, Remittance Claims,ERA All