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HIPAA Administrative Simplification Privacy |
Third Party Administration: EDI PAYOR ID Thank you for your interest in establishing an
electronic commerce relationship to conduct health plan transactions.
Below is a list of clearinghouses that have established a direct connect with C. L. Frates and
Company. Locate your Clearinghouse in the list and use the Payor ID shown to route claims to C. L. Frates and Company or OSMA Health (formerly PLICO Health). Clearinghouse Payor ID Affiliated Network
Services, LLC (ANS) Dental = CLF01 Professional = CLF99 Institutional = CLF99 Availity CLFR2 CareVu Corporation CLFR2 ClaimLogic CLFOK Dentrix/NIS (National Information Services
Clearinghouse) CLF01 Electronic Network Systems,
Inc (ENS) CLFR2 Emdeon (WebMD/Envoy/NEIC) Dental = CX075 Professional = 73071 Institutional = 73071 Gateway EDI, Inc. CLFRS (with EMC type of
047) GHN-Online (for questions:
David Cox (972) 385-5514) Professional Payor ID = CLFCMHCX12 Institutional Payor ID = CLFCMUBX12 Healthcare Administration
Technologies, Inc. (HAT, Xpack) Payor Name = C.L. Frates Infinedi, LLC Payor ID = C.L. Frates and
Company Payor ID = OSMA Health
(formerly PLICO) McKesson Corporation Professional CPID = 2279 Institutional CPID = 1900 MedAvant Healthcare
Solutions (fka ProxyMed, Inc.) CLFR2 MISYS TSPID = 001318 Navicure (routed through McKesson) Professional CPID = 2279 Institutional CPID = 1900 NDC Health CLFR2 CLF01 Per-Se’ Technologies CLFR2 SSI Group, Inc. 99999-0670 THIN (The Health
Information Network) CLFR2 WebMD (Emdeon/Envoy/NEIC) Dental = CX075 Professional = 73071 Institutional = 73071 ZirMed Z1147 If your clearinghouse does not appear in the list please contact them directly and
express your desire to send claims electronically to C.L. Frates and Company and/or OSMA Health, (formerly PLICO Health).
Under HIPAA requirements we maintain a compliant method of sending and receiving your transactions at no cost to you or your
designated clearinghouse. We are willing to establish this connection with your clearinghouse. Until your clearinghouse
is willing to complete this relationship we will be unable to fulfill your request to establish an electronic transaction methodology.
If you are interested we can establish a direct connection with you to carry out HIPAA compliant transactions. As a Business
Associate of multiple health plans we have committed the resources necessary to complete the required transactions.
For additional information regarding our electronic transaction capabilities please contact Tracy Stansbury,
EDI Analyst, 405-290-5600, x768.
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