Office Ally may, at its sole option, add or remove Payers to the Services at any time. Office ally will use commercially reasonable efforts to provide Customer with written notice of such removals.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Banner Medicare Advantage Plus PPO
Payer ID
84324
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner Medicare Advantage Plus PPO 84324 837I
Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner Medicare Advantage Prime HMO 84323 837P
Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner Medicare Advantage Prime HMO 84323 837I
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual
Payer ID
09830
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual 09830 837P
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual
Payer ID
09830
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual 09830 837I
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS)
Payer ID
66901
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS) 66901 837P
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS)
Payer ID
66901
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS) 66901 837I