Select Health Payer ID List

Effective September 24, 2024

Software Vendor Clearinghouse TP# Payer ID

Professional: SX107
Ability Office Ally (specifically Capario) HT006842-001
Institutional: 12X37
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
AdvancedMD HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
AllegianceMD Office Ally HT006842-001 Professional: SX107
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
Allscripts HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
HT001755-006 Professional: SX107
Alveo Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
HT001046-001 Professional: UHIHC
Apex EDI Apex EDI
HT000492-001 Dental: UTIHD
HT001755-006 Professional: SX107
athenahealth Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Emdeon/
Emdeon/Change Healthcare
Change Healthcare
(Advanced software)
HT001755-006
Professional: SX107
HT001755-017
Institutional: 12X37
Availity Availity
Availity
Availity
(Basic software through
(Basic software through UHIN)
UHIN)
10575
HT006873-001
HT002245-001
Professional: Z0001
Avea Solutions Waystar/ZirMed
HT002245-002 (Waystar
Institutional: Z0001
2/ZirMed 2)
HT001755-006 Professional: SX107
Brightree Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Capario Emdeon/Change Healthcare HT001755-006 Professional: SX107
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Carestream
01134
(Orthotrac / Practice Works)
HT001755-006 HT001755-
Centricity Emdeon/Change Healthcare Professional: SX107 Institutional: 12X37
017
Professional: SELUT
Cerner Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Emdeon/
Emdeon/Change Healthcare
Change Healthcare
Dental: CX107
HT001755-054
Professional: SX107
HT001755-006
Institutional: 12X37
HT001755-017
Change Healthcare Change Healthcare
RelayHealth (McKesson)/
RelayHealth
Change Healthcare
(McKesson)/
Professional: HT000015-001 CPID: 4480
Change Healthcare
Institutional: 12X37 CPID: 1532
HT000270-001
ChiroFusion Office Ally HT006842-001 Professional: SX107
Professional: SELUT
ChiroTouch Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Professional: SELUT
Claim Logic Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Claim MD Claim MD HT007612-001 Professional: SX107

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September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

ClaimRemedi
ClaimRemedi
HT007737-001
Professional/Institutional/Dental: SX107
ClaimRemedi
Emdeon/
ClaimRemedi Emdeon/Change Healthcare
Change Healthcare
Emdeon/Change Healthcare Dental: CX107
HT001755-054
Professional: SX107
HT001755-006
Institutional: 12X37
HT001755-017
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
ClaimsConnect HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
ClaimX (ExtraDent) Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
RelayHealth (McKesson)/ Change Professional: HT000015-001 CPID: 4480
CollaborateMD HT000270-001
Healthcare Institutional: 12X37 CPID: 1532
Consulmed Consulmed HT000707-001 Professional/Institutional/Dental: SX107
Cortex EDI Cortex EDI HT002055-001 Professional: SX107
CPSI CPSI HT005050-001 4003
CureConnect Emdeon/Change Healthcare HT001755-006 SX107
CureMD Emdeon/Change Healthcare HT001755-006 SX107
Curve Dental Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
DentalXchange Dental Xchange HT006310-001 Dental: CX107
Dentrix Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
eAssist Dental Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
EasyDental Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
eCentral Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
eClaims Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
HT001755-054 Dental: CX107
eClinicalWorks Emdeon/Change Healthcare HT001755-006 Professional: SX107
HT001755-017 Institutional: 12X37
Page 3 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

ECP Emdeon/Change Healthcare HT001755-006 Professional: SX107

Electronic Dental Services / EDS Emdeon/Change Healthcare HT001755-054 Dental: CX107
Eligible Inc Eligible Inc HT007367-002 UH107
HT001755-054 Dental: CX107
Emdeon / Change Healthcare Emdeon/Change Healthcare HT001755-006 Professional: SX107
HT001755-017 Institutional: 12X37
HT001755-006 Professional: SX107
Emedix Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Professional: UH107 Institutional: 12X37
ENS (Optum) ENS (Optum) HT005191-001 Eligibility: SELHT Payer Name:
SELECTHEALTH
HT001755-006 Professional: SX107
Envoy Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
ePremis HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
Emdeon/
Change Healthcare Emdeon/Change Healthcare
HT001755-006 (Advanced software)
HT001755-017 Professional or ERA's: SX107
eProvider Solutions Availity Institutional: 12X37
Availity
(Basic software through Availity (Basic software through UHIN)
UHIN) 10575
HT006873-001
Etactics Practice Insight HT005915-001 Professional: SX107
Evident CPSI HT005050-001 4003

Page 4 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Emdeon/ Emdeon/Change Healthcare

Change Healthcare (Availity Advanced software)
Availity Advanced HT001755-006 Professional: SX107
Experian Health HT001755-017 Institutional: 12X37
Nebo Systems Inc
Nebo Systems Inc Nebo Systems Inc
HT008151-001 Professional/Institutional/Dental: SX107
Professional: SELUT
EZ Claims Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
HT001755-054 Dental: CX107
Fusion EDI (Payer Fusion or Claim MD) Emdeon/Change Healthcare
HT001755-006 Professional: SX107
Professional: SELUT
Gateway EDI Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Greenway / Global Health Net (GHN) Greenway/ Global Health Net (GHN) HT002357-001 Professional: SELUT Institutional: UELUT
HT001755-006 Professional: SX107
HCRnet Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Healthcare IP Healthcare IP HT007837-001 SX107
HT001755-006 Professional: SX107
Healtheon Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
HT001755-006 Professional: SX107
HealthFusion Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
HealthSmart SX107
Henry Schein Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
HeW (Health-e-Web) Eligible Inc HT007367-002 Professional: UH107
HSPS Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
Professional: UH107
Institutional: 12X37
Igenix Connectivity Solutions ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
Page 5 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

imspro Practice Insight HT005915-001 Professional: SX107

Professional: SX107
Infinedi Infinedi HT005997-001
Institutional: UHN36
Professional: SX107
Inovalon Office Ally (specifically Capario) HT006842-001
Institutional: 12X37
InstaMed Professional: SX107
Greenway/ Professional: SELUT
Intergy HT002357-001
Global Health Net (GHN) Institutional: UELUT
Professional: SELUT
Kareo Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Professional: UH107
Institutional: 12X37
Lindsay Technical Consultants, Inc. (LTC) ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
MD On-Line Office Ally (specifically Capario) HT006842-001 Professional: SX107
HT000323-001 Professional/Institutional/Dental:
Med USA Med USA
HT001904-001 HT000015-001
Medisoft Emdeon/Change Healthcare HT001755-006 Professional: SX107
HT001755-006 Professional: SX107
MediTouch Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Medivant Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
nAble MD InstaMed Professional: SX107
Navicure Waystar/ZirMed HT002245-001 Professional: U1039
NDC (National Data Corporation / RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
HT000270-001
NDCHealth Corp) Change Healthcare Institutional: 12X37 CPID: 1532
NEA (Eaglesoft) Emdeon HT001755-054 Dental: CX107
NEBO Systems Inc Nebo Systems Inc HT008151-001 Professional/Institutional/Dental: SX107

Page 6 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Professional: UH107
Institutional: 12X37
Netwerkes ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
Professional: SELUT
Nextech Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Professional: SX107
NextGen NextGen HT005914-001
Institutional: 12X37
NIS Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
HT001755-006 Professional: SX107
NueMed Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Professional: SX107
Office Ally Office Ally HT006842-001
Institutional: SX107
HT001755-054 Dental: CX107
OMS Vision Emdeon/Change Healthcare Dental
HT001755-006 Professional: SX107
Open Dental Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
Professional: UH107 Institutional: 12X37
Optum ENS (Optum) HT005191-001 Eligibility: SELHT Payer Name:
SELECTHEALTH
Passport Health Communications Inc Nebo Systems Inc HT008151-001 Professional/Institutional/Dental: SX107
Patterson (Eaglesoft) Emdeon HT001755-054 Dental: CX107
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
PayerPath / Allscripts HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
PER-SE Utah Group HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
Professional/Institutional/Dental:
PHIcure PHIcure Inc HT007439-001
HT000015-001
PNC / PNC Bank PNC HT006143-001 Professional/Institutional/Dental: SX107
Page 7 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Practice Insight Practice Insight HT005915-001 Professional: SX107

Practice Mate Office Ally HT006842-001 Professional: SX107
Professional: HT000015-001
ProClaim Partners ProClaim Partners HT007187-001
Institutional: 12X37
Professional: UH107
Institutional: 12X37
Provider Express (Optum) ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
HT001755-006 Professional: SX107
Quadax Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Emdeon/
Change Healthcare Emdeon/Change Healthcare
HT001755-006 (Advanced software)
HT001755-017 Professional or ERA's: SX107
RealMed Availity Institutional: 12X37
Availity
(Basic software through Availity (Basic software through UHIN)
UHIN) 10575
HT006873-001
RelayHealth (McKesson)/Change RelayHealth (McKesson)/Change Professional: HT000015-001 CPID: 4480
HT000270-001
Healthcare Healthcare Institutional: 12X37 CPID: 1532
Remote Lite Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
Renaissance Systems Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
RelayHealth (McKesson)/ Professional: HT000015-001 CPID: 4480
ResourceOne / Allscripts HT000270-001
Change Healthcare Institutional: 12X37 CPID: 1532
Professional: SELUT
Revenue Manager Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT

Page 8 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Revenue Performance Advisor HT001755-006 Professional: SX107

Emdeon/Change Healthcare
(Change Healthcare) HT001755-017 Institutional: 12X37
HT001755-006 Professional: SX107
Rycan Emdeon/Change Healthcare
HT001755-017 Institutional: 12X37
Professional: UH107
SecureEDI Eligible Inc HT007367-002
Payer Name: Intermountain Health Care
Simple Practice Eligible API HT007367-002 UH107
HT002245-001
Professional: Z0001
Smart Data Solutions Waystar/ZirMed
HT002245-002 (Waystar
Institutional: Z0001
2/ZirMed 2)
SoftDent (Carestream) 904
SOS Software Manager
Emdeon/Change Healthcare HT001755-006 Professional: SX107
(Synergistic Office Solutions)
Tab 32 Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
Tesia Tesia HT006707-001 Dental: TPC17
Professional: 99999-0377
HT001720-002
The SSI Group The SSI Group Institutional: 99999-0377
HT001720-003
Remote: 0358
Emdeon/ Change Emdeon/Change Healthcare (Availity
Therabill Availity (Advanced)
Healthcare HT001755-006 Advanced software) Professional: SX107
HT001046-001 Professional: UHIHC
TheraNest Apex EDI
HT000492-001 Dental: UTIHD
Therapy Notes / My Clients Plus Emdeon/Change Healthcare HT001755-006 Professional: SX107
Thrive CPSI HT005050-001 4003
Professional: SELUT
TrakNet Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT

Page 9 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

TransMedic / MedCom (Claim MD) Emdeon/Change Healthcare HT001755-006 Professional: SX107

Professional: UH107
Institutional: 12X37
TransUnion ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
Professional: SELUT
Trizetto Gateway EDI (Trizetto) HT005157-001
Institutional: UELUT
Emdeon/
Change Healthcare Emdeon/Change Healthcare
HT001755-006 (Advanced software)
HT001755-017 Professional or ERA's: SX107
TSI Healthcare Availity Institutional: 12X37
Availity
(Basic software through Availity (Basic software through UHIN)
UHIN) 10575
HT006873-001
TSYS PHIcure Inc HT007439-002 Professional: SX107
Professional/Institutional/Dental:
UHIN UHIN (Individual TPIDs)
HT000015-001
Professional: SX107
ViaTrack Solutions ViaTrack Systems HT005914-001
Institutional: 12X37
Vyne Dental Emdeon/Change Healthcare Dental HT001755-054 Dental: CX107
HT002245-001 HT002245-
WayStar Waystar/ZirMed Professional: Z0001 Institutional: Z0001
002 (Waystar 2/ZirMed 2)
HT001755-054 Dental: CX107
WebMD Emdeon/Change Healthcare HT001755-006 Professional: SX107
HT001755-017 Institutional: 12X37
WRS Health PHIcure Inc HT007439-002 Professional: SX107
Page 10 of 11
September 2024 Payer ID List, Continued Continued…

Software Vendor Clearinghouse TP# Payer ID

Xclaims Practice Insight HT005915-001 Professional: SX107

Professional: UH107
Institutional: 12X37
Xifin ENS (Optum) HT005191-001
Eligibility: SELHT
Payer Name: SELECTHEALTH
ZirMed Waystar/ZirMed HT002245-001 Professional: Z0001
HT002245-002 (Waystar
ZirMed 2 Waystar 2/ZirMed 2 Institutional: Z0001
2/ZirMed 2)
HT008089-001
Zotec Partners / Zotec Solutions Zotec Partners HT006323-001 Professional/Institutional/Dental: SX107
HT006323-002
Zyantus Professional: SX107

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