Insurance Payer ID List (EDI) 2023

The Insurance Payer ID is a unique identification number assigned to each insurance company. By Payer Id, every provider and insurance company or payer systems connect electronically with each other.

An insurance payer ID, or an insurance provider ID or payer identification number, is a unique identifier assigned to an insurance company or payer organization. It is used in the healthcare industry to facilitate the electronic processing and billing of insurance claims.
Healthcare providers, hospitals, clinics, and individual practitioners, must submit claims to insurance companies to receive payment for services rendered to patients. Each insurance company is assigned a unique payer ID to streamline this process.

When submitting a claim, the healthcare provider includes the insurance payer ID and other relevant information, such as patient details, services provided, and associated costs. This ID helps the insurance company accurately identify itself as the payer and ensures that the claim is routed to the correct entity for processing and reimbursement.

Insurance Payer ID (EDI) List (A to Z)

Insurance payer IDs are specific to each insurance company and can vary depending on the region or country. They play a crucial role in facilitating the efficient handling of insurance claims and maintaining accurate records for healthcare providers and insurance companies.

Payer ID list is update as per received update on 06/01/2023, words and symbols meaning is updated at the bottom of the list.

Insurance Payer ID is  unique series of letters and/or numbers that indicate the digital destination of an electronic claim.
Words & SymbolsMeaning
AACKNOWLEDGEMENTS ONLY
LLATER DATE – ENS HOPES TO PROVIDE REPORTS FROM THE INSURANCE COMPANY IN THE
YYES – REPORTS ARE PROVIDED
NNO- REPORTS ARE NOT PROVIDED
SSUMMARY – REPORTS ONLY
RREJECTION – REPORTS
TTO BE DETERMINED
PPAR Payers, Direct Connections
CContracted Restricted, Direct Connections
TTransitional, Direct and NonDirect Connections
GGateway, NonDirect Connections
NNonPar Payers, Direct and NonDirect Connections
Footnotes
**Secondary claim submission is supported by X12 submitters only

Note- All information updated from reliable and authorized source of information and USA gov authorized web portals and other source of information like CMSAAPC, AHA, etc. The purpose of articles is to provide information and education only.

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Author

  • NSingh (MBA, RCM Expert)

    The author and contributor of this blog "NSingh" is working in Medical Billing and Coding since 2010. He is MBA in marketing and Having vaste experience in different scopes of Medical Billing and Coding as AR-Follow-up, Payment Posting, Charge posting, Coding, etc.