All Available Payers with Office Ally Payer List

Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.

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

Workers Comp only.

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

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

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

Workers Comp and Auto.

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

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

Workers Comp and Auto. Covers CA, MN, NC, OR, TX.

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

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

Auto only.

For claims with DOS on/after 4/1/2016. Earlier DOS should be mailed to the payer.

For claims with DOS on/after 4/1/2016. Earlier DOS should be mailed to the payer.

Effective 4/1/15.

Effective 4/1/15.

Effective 4/1/15.

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

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

Effective 7/1/18

Effective 7/1/18

Workers Comp and Auto.

For Dates of Service (DOS) 12/31/2015 and PRIOR. For DOS on/after 1/1/2016, the claims should be directed to Anthem Blue Cross (California).

For Dates of Service (DOS) 12/31/2015 and PRIOR. For DOS on/after 1/1/2016, the claims should be directed to Anthem Blue Cross (California).

Workers Comp and Auto. For claim numbers that start with '1000'. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. For claim numbers that start with '2000'. At this time, only Professional (HCFA) claims are accepted.

Workers Comp and Auto. For claim numbers that start with '3000'. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. For claim numbers that start with '4000' or '5000'. At this time, only Professional (HCFA) claims are accepted.

Effective 6/1/18

Effective 6/1/18

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

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

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

Workers Comp and Auto.

Atlanta, GA.

Atlanta, GA.

Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.

Workers Comp only.

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

Workers Comp and Auto.

For claims with DOS prior to January 1, 2018.

For claims with DOS on/after January 1, 2018.

For claims with DOS prior to January 1, 2018.

For claims with DOS on/after January 1, 2018.

Auto only.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Covers CA, IL, LA, MN, NC, NJ, OR, TN, TX, VA.

Workers Comp and Auto.

For claim DOS on or after 9/1/22. Claims with DOS prior to 9/1/21 should be sent using payer code 74272.

For claim DOS on or after 9/1/22. Claims with DOS prior to 9/1/21 should be sent using payer code 74272.

Please contact Debra (949-635-0434) to become approved for electronic submissions.

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.

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