Electronic Claim Attachments Payer List
The commercial payers listed below support electronic claim attachments and certain payers require enrollment for the service.
Note: The electronic data interchange (EDI) payer IDs listed are the specific payer IDs used to connect with the Trizetto clearinghouse when adding a new insurance or configuring the Insurance Company Electronic Claims Settings. If the exact payer name and payer ID combination is not available when setting up the payer in Tebra, use a payer with the same payer ID as the payer ID is used to establish the electronic payer connection.
Payer List
To find a specific payer, click the appropriate button to jump to a specific group of payers in alphabetical order, or press Ctrl+F on your keyboard and search for a keyword of the payer's name or search for the EDI payer ID number.
Payer Names Aa-Al
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Payer Names Am-Az
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Payer Names B-K
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Payer Names L-P
* National Government Services (NGS) requires enrollment for the electronic claim attachments service.
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Payer Names Q-Z
** Wisconsin Physician Services (WPS) requires enrollment for the electronic claim attachments service.
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Payers That Require Enrollment
National Government Services (NGS) and Wisconsin Physician Services (WPS) requires enrollment for the electronic claim attachment service.
National Government Services (NGS) Enrollment
- To enroll, go to the NGS EDI Enrollment Form page.
- Complete an EDI Registration Form as a Provider with the following information.
Note: Although the payers are set up in Tebra with Trizetto as the clearinghouse, electronic claims with attachments are submitted through Tebra's clearinghouse connection with Jopari. Enrollment is completed with Jopari's information and is only for 275 transactions (electronic claim attachments) through Jopari.- Transactions: 275 Inbound Electronic Attachments
- Trading Partner Information:
- Action: Update TPID
- Trading Partner ID:
- For Medicare Part A: CHA075397
- For Medicare Part B: CHB075311
- Software Vendor: Jopari Solution (275 Attachments only)
Note: Once selected, additional vendor information auto-populates and should not be edited. - Operating Information:
- Network Service Vendor: Waystar
- When finished, submit the form. Then, print and save the Enrollment Packet for record keeping before exiting.
The payer will send notification once the enrollment is complete. For inquiries directly related to the submitted enrollment, contact NGS directly. For all other general enrollment questions, create a Tebra Customer Care case.
Wisconsin Physician Services (WPS) Enrollment
- To enroll, go to the WPS EDI Express Enrollment page.
- Complete enrollment for providers with the following information.
Note: Although the payers are set up in Tebra with Trizetto as the clearinghouse, electronic claims with attachments are submitted through Tebra's clearinghouse connection with Jopari. Enrollment is completed with Jopari's information and is only for 275 transactions (electronic claim attachments) through Jopari.- Electronic Transaction Type: 6020 275 Transaction
- Clearinghouse/Billing Agency Trading Partner ID: 200787505
- Clearinghouse Information:
- Clearinghouse Company Name: Jopari Solutions Inc
- Clearinghouse Contact First Name: Jopari
- Clearinghouse Contact Last Name: Operations
- Clearinghouse Contact Job Title: ATTACH Operations
- Clearinghouse Contact Phone Number: (925) 459-5200
- Clearinghouse Extension: Leave blank
- Clearinghouse Contact E-Mail Address and Confirm Contact E-Mail Address: attach@jopari.com
- When finished, submit the enrollment.
The payer will send notification once the enrollment is complete. For inquiries directly related to the submitted enrollment, contact WPS directly. For all other general enrollment questions, create a Tebra Customer Care case.