Fillable ECHO Electronic Remittance Advice ERA 835 (eSolutions Payerlist)

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ECHO Electronic Remittance Advice ERA 835 (eSolutions Payerlist)

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Payer: Per the payer list
www.esolutionsinc.com 2020-08-18
ECHO
Electronic Remittance Advice
ERA 835
ERA Enrollment Instructions:
• Please save this document to your computer. Open the file and type directly onto the form.
• Complete the form using the provider’s billing/group information as credentialed with this payer.
• EDI enrollment applies to ERA only and is not necessary prior to sending claims.
• Once completed, save for your records, print and obtain appropriate signature(s).
• EDI enrollment processing timeframe is approximately 30-45 business days.
• To check status of EDI enrollment, please contact ECHO at 440-835-3511.
835 Electronic Remittance Advice:
ECHO ANSI 835 Enrollment Form
Complete the form as appropriate.
Complete one form per Tax ID to include all 835 payers offered by ECHO.
Submit Completed Document:
Email to ECHO Healthcare Systems
edi@echohealthinc.com
835 Payer List
Access Health Services - Arkansas Superior Select
Delano Regional Medical Group
ACS Benefit Services
Diversified Group Administration
Aetna Senior Medicare Supplement
EBC, Inc.
Affinity Health Plan
EBSO Inc. - Expert Benefit Services
Affinity Medicare & Medicaid Advantage
Employee Benefit Consultants
AFLAC of Georgia (Am. Family Life Assurance)
Employee Benefit Services, Inc. (EBSI)
AllCare
Evolutions Healthcare Systems
Alliance Coal Health Plan
Family Health Network (IL)
AltaMed
FMH Benefit Services - CoreSource
AMA Insurance (Am. Medical Associates)
Fresenius Medical Care Health Plan
AmeraPlan
Gateway Health Plan - Medicare
American Healthcare Alliance
GemCare – Managed Care Systems
American Progressive
Global Care – Boulder Administration
America’s Choice Healthplan
G.M.P. – Employers Retiree Trust
AmeriHealth Caritas Delaware
GMS, Inc.
AmeriHealth Caritas District of Columbia
Group Health Inc (GHI) – Emblem Health
AmeriHealth Caritas Louisiana
Health Cost Solutions
AmeriHealth Caritas Pennsylvania
Health Ins. Plan of New York - HIP
AmeriHealth Caritas New Hampshire
Health Partners - Pennsylvania
AmeriHealth Caritas Northeast
Healthcare Highways
AmeriHealth Caritas VIP Care
Healthcare Management Admin. HMA
AmeriHealth Caritas VIP Care Plus (Michigan
HealthChoice Oklahoma, DSR, DOC
Ameritas Life Insurance Co
HealthSCOPE Benefits
AmFirst Insurance Co.
Healthscope – Community HA
Atlantic Coast Life Ins.
HealthSmart – All Plans
Banner Health Co – All plans
Hoag Clinic (Hoag Physician Partners)
Benefit Plan Administrators
HSBS Memphis
Boulder Administration Services
InHealth Mutual of Ohio
Capitol Administrators
Insurance Management Services
Caprock Health Plan
INTEGRA Admin. Group
CareMore Health Plans
Kalos Gold Health Plan
CareNCare
Key Medical Group
CareSource- All States
Key Medical Group Medicare Advantage
Catholic Life Insurance – United Financial
Keystone First Community Health Choice
Central California Alliance for Health (CCAH)
Keystone First Health Plan
CHCS Services, Inc.
Keystone First VIP Choices
Clear Spring Health
Liberty Dental Plan, Inc.
Coastal TPA Inc.
Lifestyle Health Plan – Medova Healthcare
Community Care Alliance of Illinois
Managed Care Systems (MCS03)
Community Health Choice
Maricopa Health Plan
ConnectiCare Commercial and Medicare Adv.
Marion Health Services - CHW
Constitution Life Insurance Co.
Marrick Medical Finance
Consumers Choice Health
MCA Administrators, Inc.
CoreSource – All Plans
Meritain Health
Corporate Benefit Services of America (CBSA)
Michigan Blue Cross Complete
Covenant Administrators, Inc.
Mid-American Benefits, Inc.
Custom Design Benefits
Monitor Life Insurance Co. of New York
Multiplan WI Preferred Provider Network
Municipal Health Benefit Plan
Mutual Health Services
835 Payer List
Native Care Health
Nippon Life Benefits
North American Administrators, Inc.
Ohio PPO Connect
One Call Medical
Pan American Life Ins. Group
Parkland Community Health Plan
Pennsylvania's Preferred Health Networks
Physicians Mutual Insurance Co.
PerformCare - HealthChoices
Pittman & Associates
Polish Falcons of America
Preferred Health Plan of the Carolinas
Prestige Health Choice
Pyramid Life Insurance Co.
QualChoice
Regence Group Administrators
Renaissance Life and Health Ins Co of America
ResourceOne Administrators
Santa Clara Family Health Plan
SCAN Health Plan
Scott & White
Select Health of South Carolina
Sentinel Security Life
Significa Benefits Services
Simply Healthcare
South Central Preferred/Wellspan
Standard Life and Accident Insurance Co.
Student Resources - UHC
Symetra Life Ins. Co. Bellevue, WA
TriStar Benefit Administrators
Trusteed Plans Services Corp.
Trust Mark / Starmark
Union Pacific Railroad Employees
University Care Advantage
University Family Care – Maricopa Health
USAA (United States Automobile Assoc.)
Valley Care IPA – Valley Care Select IPA
Wabash Memorial Hospital Association
WellMed
William C. Earhart Company, Inc.
eSolutions, Inc. (fka ClaimRemedi)
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ECHO Electronic Remittance Advice ERA 835 (eSolutions Payerlist)

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Completed 23 September 2021

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