All Available Payers with Office Ally Payer List

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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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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
Payer ID
SKUT0
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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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 Crossovers
Payer ID
U4005
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A UHIN pass through few applies to this transaction.
Medicaid Vermont
Payer ID
MCDVT
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Virginia - HealthKeepers Plus
Payer ID
CX014
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Washington DC
Payer ID
77033
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Wisconsin
Payer ID
MCDWI
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Wisconsin (Administered by Doral Dental of Wisconsin)
Payer ID
CX014
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Wisconsin - Humana / TDC
Payer ID
CX014
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Wisconsin - PrimeCare
Payer ID
CX014
Payer ID
Transaction
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Wyoming
Payer ID
77046
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Associates Health Plan
Payer ID
MAHC1
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Associates Health Plan
Payer ID
MAHC1
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Benefits Administrators, Inc.
Payer ID
74323
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Newark, OH.
Medical Benefits Administrators, Inc.
Payer ID
74323
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Newark, OH.
Medical Benefits Companies
Payer ID
74323
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Newark, OH.
Medical Benefits Companies
Payer ID
74323
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Newark, OH.
Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Reimbursements of America
Payer ID
62177
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Reimbursements of America
Payer ID
62177
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Resource Network (MRN)
Payer ID
58203
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Resource Network (MRN)
Payer ID
58203
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Safety Net
Payer ID
AMM13
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Safety Net
Payer ID
AMM13
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Service Company (MCS)
Payer ID
80019
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Service Company (MCS)
Payer ID
80019
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Specialties Managers Inc
Payer ID
MSM01
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Value Plan-MVP-OH
Payer ID
38224
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medical Value Plan-MVP-OH
Payer ID
38224
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Alabama
Payer ID
10102
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Alaska
Payer ID
MR010
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Arizona
Payer ID
MR008
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Arkansas
Payer ID
MR086
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Connecticut
Payer ID
13102
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Delaware
Payer ID
00902
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare District of Columbia
Payer ID
00903
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Florida
Payer ID
MR025
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Florida
Payer ID
MR025
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Georgia
Payer ID
10202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Georgia
Payer ID
10202
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Hawaii
Payer ID
MR057
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Idaho
Payer ID
MR003
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Illinois
Payer ID
MCRIL
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Indiana
Payer ID
MR089
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Iowa
Payer ID
05102
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare J04911
Payer ID
04911
Payer ID
Transaction
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
Medicare J12901 - WPS Legacy Part A
Payer ID
12901
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Kansas
Payer ID
05202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Kansas City
Payer ID
05302
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Kansas City
Payer ID
05302
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Kentucky
Payer ID
15102
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Louisiana
Payer ID
07202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Louisiana
Payer ID
07202
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Maine
Payer ID
14112
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Maryland
Payer ID
00901
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Massachusetts
Payer ID
14212
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Michigan
Payer ID
08202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Michigan
Payer ID
08202
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Minnesota
Payer ID
06202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Mississippi
Payer ID
07302
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Missouri (East & West)
Payer ID
05302
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Missouri (East & West)
Payer ID
05302
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Montana
Payer ID
03202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Nebraska
Payer ID
00655
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Nevada
Payer ID
MR007
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New Hampshire
Payer ID
14312
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New Jersey
Payer ID
12402
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New Jersey
Payer ID
12402
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New Mexico
Payer ID
04212
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New York (Downstate)
Payer ID
13202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New York (Empire)
Payer ID
13202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New York (Queens)
Payer ID
13292
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare New York (Upstate)
Payer ID
13282
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare North Carolina
Payer ID
11502
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare North Dakota
Payer ID
MR083
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Northern Virginia
Payer ID
12202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Includes Arlington and Fairfax Counties in Northern Virginia and the city of Alexandria.
Medicare Ohio
Payer ID
15202
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Oklahoma
Payer ID
04312
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Oklahoma
Payer ID
04312
Payer ID
Transaction
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicare Oregon
Payer ID
MR011
Payer ID
Transaction
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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