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Choosing a clearinghouse

We contract with the clearinghouses below to transmit professional, institutional, and dental claims electronically. Our payor ID number is 93029. (Please note there is a different payor ID for PacificSource Administrators: 93031.)

You may use one of these clearinghouses, or any other. If you use a clearinghouse not listed below, your clearinghouse should forward your claims to one of our contracted clearinghouses.

To find out more, contact the clearinghouse directly, or get in touch with your PacificSource Provider Service Representative.

Change Healthcare (formerly Emdeon) 
3055 Lebanon Pike 
Nashville, TN 37214
(844) 217-1199 
ChangeHealthcare.com 
Transactions: professional, institutional, and dental claims;
835 remittance
 

Availity (formerly HeW)
5555 Gate Pkwy, Suite 110
Jacksonville, FL 32256
Availity.com
Transactions: professional and institutional claims,
835 remittance

inMediata 
4235 S Stream Blvd. 
Charlotte, NC 28217
(877) 466 9656
inMediata.com
Transactions: dental claims

MCPS, Inc.
1722 South Glenstone, Suite WW
Springfield, MO 65804
(800) 879-7534
Email: mcp@mcps-inc.com
MCPS-Inc.com
Transactions: professional claims, 835 remittance

Office Ally
PO Box 872020
Vancouver, WA 98687
(866) 575-4120
OfficeAlly.com
Transactions: professional and institutional claims,
835 remittance

Payer Connection
4000 Kruse Way Pl bldg 1 suite 200, 
Lake Oswego, OR 97035
(503) 820-3803
PayerConnection.com
Transactions: professional claims, 835 remittance

RelayHealth
1564 Northeast Expressway
Atlanta, GA 30329-2010
(866) 735-2963, Option 1
RelayHealth.com
Transactions: Professional and institutional claims,
835 remittance

Trizetto Provider Solutions 
3300 Rider Trail South
Earth City, MO 63045
(800) 969-3666
TrizettoProvider.com
Transactions: professional and institutional claims,
835 remittance

Important guidelines for your claim submissions

We use imaging technology to process your claims as quickly and accurately as possible. You can help us by following these guidelines:

  • Submit applicable HCFA or UB form.
  • Make sure the print is dark, clear, and free of smudges.
  • Use 10- to 12-point black or blue type.
  • Make sure all information is aligned within the appropriate box.
  • Include only information needed for that claim.
  • Use only one code per service line.
  • Circle any specific pertinent information.
  • Include the diagnosis appropriate to the date of service in Box 21(1) (HCFA).
  • Include any diagnosis corresponding to Box 21(1) in Box 24(E) (HCFA).
  • Include your federal tax ID number in Box 25 (HCFA).
  • Please be sure to include the NDC (National Drug Code).