All Available Payers with Office Ally Payer List

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

Auto only. At this time, only Professional (HCFA) claims are accepted.

Payer returns ERA's automatically once electronic claim submission begins.

Payer returns ERA's automatically once electronic claim submission begins.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

The ERA enrollment form will be listed under "MemorialCare".

The ERA enrollment form will be listed under "MemorialCare".

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

Payer returns ERAs automatically.

Payer returns ERAs automatically.

Effective 9/1/2019 Previously known as San Jose Medical Group.

Effective 9/1/2019 Previously known as San Jose Medical Group.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.

Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.