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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
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
Banner Health and Aetna Health Insurance Company
Payer ID
67895
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 Health and Aetna Health Insurance Company 67895 837P
Banner Health and Aetna Health Insurance Company
Payer ID
67895
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 Health and Aetna Health Insurance Company 67895 837I
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Berkley Specialty Underwriters TP019 837P
Berkshire Hathaway Direct Insurance Company
Payer ID
J1975
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Berkshire Hathaway Direct Insurance Company J1975 837P
Berkshire Hathaway Homestate Companies (Member of BHHC)
Payer ID
20044
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Covers CA, IL, LA, MN, NC, NJ, OR, TN, TX, VA.
Payer returns ERA's automatically once electronic claim submission begins. No enrollment needed.
Berkshire Hathaway Homestate Companies (Member of BHHC) 20044 837P
Berwind Corporation
Payer ID
J1031
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Berwind Corporation J1031 837P
Best Life & Health Insurance Company
Payer ID
95604
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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Best Life & Health Insurance Company 95604 837P
Best Life & Health Insurance Company
Payer ID
95604
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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Best Life & Health Insurance Company 95604 837I
Beverly Alianza IPA
Payer ID
NMM06
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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Beverly Alianza IPA NMM06 837P
Beverly Alianza IPA
Payer ID
NMM06
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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Beverly Alianza IPA NMM06 837I
Beverly Hospital - Imperial Health Holdings
Payer ID
ECMSO
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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Beverly Hospital - Imperial Health Holdings ECMSO 837P
Beverly Hospital - Imperial Health Holdings
Payer ID
ECMSO
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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Beverly Hospital - Imperial Health Holdings ECMSO 837I
Beverly Hospital BEVAHISP
Payer ID
MPM42
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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Beverly Hospital BEVAHISP MPM42 837P
Beverly Hospital BEVAHISP
Payer ID
MPM42
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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Beverly Hospital BEVAHISP MPM42 837I
Bind
Payer ID
25463
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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Bind 25463 837P
Bind
Payer ID
25463
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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Bind 25463 837I
Bituminous Fire and Marine
Payer ID
J1691
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.