All Available Payers with Office Ally Payer List

Effective December 9,2019

Effective December 9,2019

Effective January 1, 2018.

Effective January 1, 2018.

Previously known as Imperial Insurance Company of Texas

Previously known as Imperial Insurance Company of Texas

(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021

(Wellcare, Humana & SCAN LOBs only) Effective 1/25/2021

Effective DOS 7/1/2019 and after.

Effective DOS 7/1/2019 and after.

Effective DOS 7/1/2019 and after.

Effective DOS 7/1/2019 and after.

Workers Comp only.

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

Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548. ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.

Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548. ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.

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

IEHP requests that all submitter's send their Taxonomy Codes.

IEHP requests that all submitter's send their Taxonomy Codes.

For claims with DOS prior to 7/1/14. All claims with DOS after 7/1/14 should be sent to Payer ID PROH4.

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

Workers Comp and Auto.

Workers Comp and Auto.

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

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