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
WC / Auto
NOTES
Medicaid Pennsylvania (Administered by Americhoice)
Payer ID
86049
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Pennsylvania (Administered by Americhoice) 86049 837D
Medicaid Pennsylvania - Best Health Care - Pittsburgh
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Pennsylvania - Best Health Care - Pittsburgh CX014 837D
Medicaid Pennsylvania - Gateway Health Plan - Pittsburgh
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Pennsylvania - Gateway Health Plan - Pittsburgh CX014 837D
Medicaid Pennsylvania - Health Partners - Philadelphia
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Pennsylvania - Health Partners - Philadelphia CX014 837D
Medicaid Pennsylvania - Oaktree
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Pennsylvania - Oaktree CX014 837D
Medicaid Rhode Island
Payer ID
MCDRI
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Rhode Island MCDRI 837P
Medicaid South Carolina
Payer ID
SCXIX
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid South Carolina SCXIX 837P
Medicaid South Dakota
Payer ID
MCDSD
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid South Dakota MCDSD 837P
Medicaid Tennessee - BlueCare
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Tennessee - BlueCare CX014 837D
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Tennessee / TennCare 00890 837P
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Tennessee / TennCare 00890 837I
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Texas TMHP1 837P
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Texas TMHP1 837I
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Texas TMHP1 837D
Medicaid Texas - Delta Dental
Payer ID
CPPTM
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Texas - Delta Dental CPPTM 837D
Medicaid Texas - MCNA
Payer ID
MCNA1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Medicaid Texas - MCNA MCNA1 837D
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 837P
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 837I
Medicaid Utah Crossovers
Payer ID
U4005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
A UHIN pass through few applies to this transaction.
Medicaid Utah Crossovers U4005 837P
Medicaid Vermont
Payer ID
MCDVT
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Vermont MCDVT 837P
Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Virginia MCDVA 837P
Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Virginia MCDVA 837I
Medicaid Virginia - HealthKeepers Plus
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Virginia - HealthKeepers Plus CX014 837D
Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Washington MC006 837P
Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Washington MC006 837I
Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Washington MC006 837D
Medicaid Washington DC
Payer ID
77033
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid Washington DC 77033 837P
Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid West Virginia MCDWV 837P
Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Hide note
Medicaid West Virginia MCDWV 837I
Medicaid Wisconsin
Payer ID
MCDWI
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Wisconsin MCDWI 837P
Medicaid Wisconsin (Administered by Doral Dental of Wisconsin)
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Medicaid Wisconsin (Administered by Doral Dental of Wisconsin) CX014 837D
Medicaid Wisconsin - Humana / TDC
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Wisconsin - Humana / TDC CX014 837D
Medicaid Wisconsin - PrimeCare
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Wisconsin - PrimeCare CX014 837D
Medicaid Wyoming
Payer ID
77046
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Wyoming 77046 837P
Medical Associates Health Plan
Payer ID
MAHC1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Associates Health Plan MAHC1 837P
Medical Associates Health Plan
Payer ID
MAHC1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Associates Health Plan MAHC1 837I
Medical Benefits Administrators, Inc.
Payer ID
74323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Administrators, Inc. 74323 837P
Medical Benefits Administrators, Inc.
Payer ID
74323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Administrators, Inc. 74323 837I
Medical Benefits Companies
Payer ID
74323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Companies 74323 837P
Medical Benefits Companies
Payer ID
74323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Companies 74323 837I
Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Mutual 74323 837P
Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Mutual 74323 837I
Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Mutual Life Insurance Co. 74323 837P
Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Benefits Mutual Life Insurance Co. 74323 837I
Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Card System (MCS) L0170 837P
Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Card System (MCS) L0170 837I
Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Mutual of Ohio 29076 837P
Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Mutual of Ohio 29076 837I
Medical Reimbursements of America
Payer ID
62177
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Reimbursements of America 62177 837P
Medical Reimbursements of America
Payer ID
62177
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Reimbursements of America 62177 837I
Medical Resource Network (MRN)
Payer ID
58203
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Resource Network (MRN) 58203 837P
Medical Resource Network (MRN)
Payer ID
58203
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Resource Network (MRN) 58203 837I
Medical Safety Net
Payer ID
AMM13
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Safety Net AMM13 837P
Medical Safety Net
Payer ID
AMM13
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Safety Net AMM13 837I
Medical Service Company (MCS)
Payer ID
80019
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Service Company (MCS) 80019 837P
Medical Service Company (MCS)
Payer ID
80019
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Service Company (MCS) 80019 837I
Medical Specialties Managers Inc
Payer ID
MSM01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Specialties Managers Inc MSM01 837P
Medical Value Plan-MVP-OH
Payer ID
38224
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medical Value Plan-MVP-OH 38224 837P
Medical Value Plan-MVP-OH
Payer ID
38224
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medical Value Plan-MVP-OH 38224 837I
Medicare Alabama
Payer ID
10102
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicare Alabama 10102 837P
Medicare Alaska
Payer ID
MR010
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicare Alaska MR010 837P
Medicare Arizona
Payer ID
MR008
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicare Arizona MR008 837P
Medicare Arkansas
Payer ID
MR086
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Arkansas MR086 837P
Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare California (North) MR001 837P
Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Medicare California (North) MR001 837I
Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare California (South) MR002 837P
Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare California (South) MR002 837I
Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Colorado MR004 837P
Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Colorado MR004 837I
Medicare Connecticut
Payer ID
13102
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Connecticut 13102 837P
Medicare Delaware
Payer ID
00902
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Delaware 00902 837P
Medicare District of Columbia
Payer ID
00903
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare District of Columbia 00903 837P
Medicare Florida
Payer ID
MR025
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Medicare Florida MR025 837P
Medicare Florida
Payer ID
MR025
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Medicare Florida MR025 837I
Medicare Georgia
Payer ID
10202
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Medicare Georgia 10202 837P
Medicare Hawaii
Payer ID
MR057
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Medicare Hawaii MR057 837P
Medicare Idaho
Payer ID
MR003
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Idaho MR003 837P
Medicare Illinois
Payer ID
MCRIL
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Illinois MCRIL 837P
Medicare Indiana
Payer ID
MR089
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Indiana MR089 837P
Medicare Iowa
Payer ID
05102
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Iowa 05102 837P
Medicare J04911
Payer ID
04911
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States
