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
Medicare New Mexico
Payer ID
04212
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 New Mexico 04212 837P
Medicare New York (Downstate)
Payer ID
13202
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 New York (Downstate) 13202 837P
Medicare New York (Empire)
Payer ID
13202
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 New York (Empire) 13202 837P
Medicare New York (Queens)
Payer ID
13292
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 New York (Queens) 13292 837P
Medicare New York (Upstate)
Payer ID
13282
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 New York (Upstate) 13282 837P
Medicare North Carolina
Payer ID
11502
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 North Carolina 11502 837P
Medicare North Carolina
Payer ID
11502
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
Medicare North Carolina 11502 837I
Medicare North Dakota
Payer ID
MR083
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 North Dakota MR083 837P
Medicare Northern Virginia
Payer ID
12202
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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Includes Arlington and Fairfax Counties in Northern Virginia and the city of Alexandria.
Medicare Northern Virginia 12202 837P
Medicare Ohio
Payer ID
15202
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 Ohio 15202 837P
Medicare Oklahoma
Payer ID
04312
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 Oklahoma 04312 837P
Medicare Oklahoma
Payer ID
04312
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
Medicare Oklahoma 04312 837I
Medicare Oregon
Payer ID
MR011
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 Oregon MR011 837P
Medicare Pennsylvania
Payer ID
12502
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 Pennsylvania 12502 837P
Medicare Pennsylvania
Payer ID
12502
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
Medicare Pennsylvania 12502 837I
Medicare Puerto Rico
Payer ID
09202
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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Hide note
Medicare Puerto Rico 09202 837P
Medicare Railroad
Payer ID
MR018
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
EDI enrollment form listed under Payer Enrollment Forms - All or Multiple States. ERA activation can be found within the EDI enrollment form.
Medicare Railroad MR018 837P
Medicare Rhode Island
Payer ID
14412
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 Rhode Island 14412 837P
Medicare South Carolina
Payer ID
11202
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 South Carolina 11202 837P
Medicare South Carolina
Payer ID
11001
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
Medicare South Carolina 11001 837I
Medicare South Dakota
Payer ID
MR084
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 South Dakota MR084 837P
Medicare Tennessee
Payer ID
MR034
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 Tennessee MR034 837P
Medicare Tennessee
Payer ID
10301
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
Medicare Tennessee 10301 837I
Medicare Texas
Payer ID
MR085
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 Texas MR085 837P
Medicare Texas
Payer ID
MR085
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
Medicare Texas MR085 837I
Medicare Utah
Payer ID
MR046
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 Utah MR046 837P
Medicare Vermont
Payer ID
14512
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 Vermont 14512 837P
Medicare Virgin Islands
Payer ID
09302
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 Virgin Islands 09302 837P
Medicare Virginia (Palmetto)
Payer ID
11302
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
Includes all cities/counties except Alexandria, Arlington & Fairfax.
Medicare Virginia (Palmetto) 11302 837P
Medicare Washington
Payer ID
MR006
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 Washington MR006 837P
Medicare Washington
Payer ID
MR006
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
Medicare Washington MR006 837I
Medicare Washington DC
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
Hide note
Medicare Washington DC 00903 837P
Medicare Washington DC
Payer ID
00903
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
Medicare Washington DC 00903 837I
Medicare West Virginia
Payer ID
11402
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 West Virginia 11402 837P
Medicare Wisconsin
Payer ID
06302
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 Wisconsin 06302 837P
Medicare Wisconsin
Payer ID
06302
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
Medicare Wisconsin 06302 837I
Medicare Wyoming
Payer ID
MR074
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 Wyoming MR074 837P
Medicare and Much More Florida
Payer ID
MMMFL
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
Payer returns ERAs automatically once electronic claim submission begins.
Medicare and Much More Florida MMMFL 837P
Medicare and Much More Florida
Payer ID
MMMFL
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
Payer returns ERAs automatically once electronic claim submission begins.
Medicare and Much More Florida MMMFL 837I
Medicare – HHH J11 (Palmetto)
Payer ID
11001
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
EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J11 (Palmetto) 11001 837I
Medicare – HHH J15 (CGS)
Payer ID
15004
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
EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J15 (CGS) 15004 837I
Medicina Familiar Medical Group
Payer ID
CAPMN
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
Medicina Familiar Medical Group CAPMN 837P
Medicina Familiar Medical Group
Payer ID
CAPMN
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
Medicina Familiar Medical Group CAPMN 837I
Medico Insurance
Payer ID
23160
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
PO Box 21660 Eagan MN 55121
Medico Insurance 23160 837P
Medico Insurance
Payer ID
23160
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
PO Box 21660 Eagan MN 55121
Medico Insurance 23160 837I
Medico Insurance
Payer ID
23160
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
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PO Box 21660 Eagan MN 55121
Medico Insurance 23160 837D
Medigold
Payer ID
95655
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
Medigold 95655 837P
Medigold
Payer ID
95655
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
Medigold 95655 837I
Medigold PPO
Payer ID
13123
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
Medigold PPO 13123 837P
Medigold PPO
Payer ID
13123
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
Medigold PPO 13123 837I
Mediview Sendero CHIP & STAR
Payer ID
SCS17
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
Mediview Sendero CHIP & STAR SCS17 837P
Mediview Sendero CHIP & STAR
Payer ID
SCS17
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
Mediview Sendero CHIP & STAR SCS17 837I
Mediview UTMB Care UB
Payer ID
RUTMH
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
Mediview UTMB Care UB RUTMH 837I
Mediview UTMB3
Payer ID
UTMB3
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
Mediview UTMB3 UTMB3 837P
Mediview UTMB3
Payer ID
UTMB3
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
Mediview UTMB3 UTMB3 837I
Mediview Vista 360 Health
Payer ID
V360H
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
Mediview Vista 360 Health V360H 837P
Mediview Vista 360 Health
Payer ID
V360H
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
Mediview Vista 360 Health V360H 837I
Mega Life & Health Insurance - OKC
Payer ID
59227
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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P.O. Box 548801, Oklahoma City, OK 73154
Professional claims only.
Mega Life & Health Insurance - OKC 59227 837P
Mega Life and Health (Frisco, TX)
Payer ID
60601
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
Mega Life and Health (Frisco, TX) 60601 837D
Meijer Stores
Payer ID
J1930
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Meijer Stores J1930 837P
Memorial Healthcare IPA
Payer ID
IP095
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
Memorial Healthcare IPA IP095 837P
Memorial Healthcare IPA
Payer ID
IP095
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
Memorial Healthcare IPA IP095 837I
Memorial Hermann Health Network (MHHN)
Payer ID
MHHNP
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
Memorial Hermann Health Network (MHHN) MHHNP 837P
Memorial Hermann Health Network (MHHN)
Payer ID
MHHNP
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
Memorial Hermann Health Network (MHHN) MHHNP 837I
Memorial Integrated Healthcare (Commercial)
Payer ID
59064
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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Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Commercial) 59064 837P
Memorial Integrated Healthcare (Commercial)
Payer ID
59064
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
Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Commercial) 59064 837I
Memorial Integrated Healthcare (Medicaid)
Payer ID
59065
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
Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Medicaid) 59065 837P
Memorial Integrated Healthcare (Medicaid)
Payer ID
59065
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
Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Medicaid) 59065 837I
Memorial Medical Center - Non Sutter
Payer ID
SC054
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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View note
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Memorial Medical Center - Non Sutter SC054 837P
Memorial Medical Center - Non Sutter
Payer ID
SC054
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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Memorial Medical Center - Non Sutter SC054 837I
MemorialCare Medical Foundation
Payer ID
MMFMC
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
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation MMFMC 837P
MemorialCare Medical Foundation
Payer ID
MMFMC
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
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation MMFMC 837I
MemorialCare Medical Foundation Cap Services
Payer ID
MMFCS
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
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation Cap Services MMFCS 837P
MemorialCare Medical Foundation Cap Services
Payer ID
MMFCS
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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The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation Cap Services MMFCS 837I
MemorialCare Medical Foundation UCI
Payer ID
MMFUC
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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The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation UCI MMFUC 837P
MemorialCare Medical Foundation UCI
Payer ID
MMFUC
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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The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation UCI MMFUC 837I
MemorialCare Select Health Plan
Payer ID
46187
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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(formerly known Seaside Health Plan). The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Select Health Plan 46187 837P
MemorialCare Select Health Plan
Payer ID
46187
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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(formerly known Seaside Health Plan). The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Select Health Plan 46187 837I
MemorialCare Select Health Plan Encounters
Payer ID
E4618
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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(formerly known Seaside Health Plan)
MemorialCare Select Health Plan Encounters E4618 837P
MemorialCare Select Health Plan Encounters
Payer ID
E4618
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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(formerly known Seaside Health Plan)
MemorialCare Select Health Plan Encounters E4618 837I
Mendota Insurance Company
Payer ID
33650
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Mendota Insurance Company 33650 837P
Menifee Valley Community Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Menifee Valley Community Medical Group HCMG1 837P
Menifee Valley Community Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Menifee Valley Community Medical Group HCMG1 837I
Mental Health Consultants Inc.
Payer ID
37050
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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Mental Health Consultants Inc. 37050 837P
Mental Health Consultants Inc.
Payer ID
37050
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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Mental Health Consultants Inc. 37050 837I
Merced County Healthy Kids
Payer ID
CPP11
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Merced County Healthy Kids CPP11 837D
Merchants Insurance Group
Payer ID
C1095
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto only.
Merchants Insurance Group C1095 837P
Mercury
Payer ID
C1087
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto only.
Mercury C1087 837P
Mercury General Corporation - Auto
Payer ID
J2277
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto Only. 835’s are automatic.
Mercury General Corporation - Auto J2277 837P
Mercy Benefit Administration
Payer ID
37264
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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Mercy Benefit Administration 37264 837P
Mercy Benefit Administration
Payer ID
37264
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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Mercy Benefit Administration 37264 837I
Mercy Care Health Plans – Wisconsin & Illinois
Payer ID
39114
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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Mercy Care Health Plans – Wisconsin & Illinois 39114 837P
Mercy Care Health Plans – Wisconsin & Illinois
Payer ID
39114
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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Mercy Care Health Plans – Wisconsin & Illinois 39114 837I
