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 |
NIS (National Information Services)/DENTRIX
|
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.