ID: J4156
Third Party Administrator (TPA)

Direct Pay Provider Network - Professional

Direct Pay Provider Network - Professional appears to be a payer entry used to receive professional (CMS-1500/837P) claims and attachments, primarily for workers' compensation/professional claim processing within clearinghouse networks.

Capabilities

Professional Claims (1500)
Institutional Claims (UB-04)
Electronic Attachments
Workers' Comp
ERA/Remittance
Eligibility Verification
Claim Status Inquiry
Prior Authorization
Dental Claims
Secondary Claims
Real-Time Processing

Alternative Names

Name Payer ID
Direct Pay Provider Network (Institutional WC Only) J4155
Direct Pay Provider Network Professional Attachments (WC Only) J4156

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