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.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Minnesota Insurance Guarantee Association (MIGA)
Payer ID
J2094
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Minnesota Insurance Guarantee Association (MIGA) J2094 837P
Minnesota WC Plan
Payer ID
J1417
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Minnesota WC Plan J1417 837P
Mirra Healthcare
Payer ID
RP106
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mirra Healthcare RP106 837P
Mirra Healthcare
Payer ID
RP106
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mirra Healthcare RP106 837I
Mission Community IPA
Payer ID
PHM10
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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For Mission Community IPA claims effective 10-1-11.
Mission Community IPA PHM10 837P
Mission Heritage Medical Group
Payer ID
STJOE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Mission Heritage Medical Group STJOE 837P
Mission Heritage Medical Group
Payer ID
STJOE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mission Heritage Medical Group STJOE 837I
Mission Hospital Affiliated Physicians
Payer ID
STJOE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mission Hospital Affiliated Physicians STJOE 837P
Mission Hospital Affiliated Physicians
Payer ID
STJOE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mission Hospital Affiliated Physicians STJOE 837I
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Mississippi Department Of Corrections - CORVEL J3328 837P
Mississippi Select Health Care
Payer ID
64088
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Gulfport, MS.
Mississippi Select Health Care 64088 837P
Mississippi Select Health Care
Payer ID
64088
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Gulfport, MS.
Mississippi Select Health Care 64088 837I
Missoula County Medical Benefits Plan
Payer ID
37275
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Missoula County Medical Benefits Plan 37275 837P
Missoula County Medical Benefits Plan
Payer ID
37275
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Missoula County Medical Benefits Plan 37275 837I
Missouri Medicare Select
Payer ID
MMS01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Payer returns ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 837P
Missouri Medicare Select
Payer ID
MMS01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Payer returns ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 837I
Mitsui Sumitomo Insurance Group
Payer ID
J1692
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Mitsui Sumitomo Insurance Group J1692 837P
Mitsui Sumitomo Insurance USA Inc.
Payer ID
J1694
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Mitsui Sumitomo Insurance USA Inc. J1694 837P
Mobilitas Insurance Company
Payer ID
J4092
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
View note
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Mobilitas Insurance Company J4092 837P
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Moda Health (Formerly ODS Health Plan) 13350 837P
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Moda Health (Formerly ODS Health Plan) 13350 837I
Molina Complete Care of Virginia
Payer ID
MCC02
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Molina Complete Care of Virginia MCC02 837P
Molina Complete Care of Virginia
Payer ID
MCC02
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Complete Care of Virginia MCC02 837I
Molina Complete Care of Virginia - Encounters
Payer ID
10101
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Complete Care of Virginia - Encounters 10101 837P
Molina Complete Care of Virginia - Encounters
Payer ID
10101
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Complete Care of Virginia - Encounters 10101 837I
Molina Health Care of New Mexico
Payer ID
SCNNM
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Health Care of New Mexico SCNNM 837D
Molina Health Care of Ohio
Payer ID
SCNMO
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Health Care of Ohio SCNMO 837D
Molina Healthcare of Arizona
Payer ID
MCC01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Arizona MCC01 837P
Molina Healthcare of Arizona
Payer ID
MCC01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Arizona MCC01 837I
Molina Healthcare of CA Encounters
Payer ID
33373
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Encounters ONLY.
Molina Healthcare of CA Encounters 33373 837P
Molina Healthcare of CA Encounters
Payer ID
33373
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Encounters ONLY.
Molina Healthcare of CA Encounters 33373 837I
Molina Healthcare of California
Payer ID
38333
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Molina Healthcare of California 38333 837P
Molina Healthcare of California
Payer ID
38333
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of California 38333 837I
Molina Healthcare of Florida
Payer ID
51062
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Florida 51062 837P
Molina Healthcare of Florida
Payer ID
51062
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Florida 51062 837I
Molina Healthcare of Florida - Encounters
Payer ID
00513
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Florida - Encounters 00513 837P
Molina Healthcare of Florida - Encounters
Payer ID
00513
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Florida - Encounters 00513 837I
Molina Healthcare of Idaho
Payer ID
61799
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Idaho 61799 837P
Molina Healthcare of Idaho
Payer ID
61799
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Idaho 61799 837I
Molina Healthcare of Illinois
Payer ID
20934
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Illinois 20934 837P
Molina Healthcare of Illinois
Payer ID
20934
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Illinois 20934 837I
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Iowa MLNIA 837P
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Iowa MLNIA 837I
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Michigan 38334 837P
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Michigan 38334 837I
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Mississippi 77010 837P
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Mississippi 77010 837I
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837P
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837I
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Molina Healthcare of Nevada MLNNV 837P
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of Nevada MLNNV 837I
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Molina Healthcare of New Mexico NM505 837P
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Molina Healthcare of New Mexico - Salud 09824 837P
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of New Mexico - Salud 09824 837I
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837P
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837I
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Ohio 20149 837P
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Ohio 20149 837I
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of South Carolina 46299 837P
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of South Carolina 46299 837I
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Texas 20554 837P
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Texas 20554 837I
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Utah (aka American Family Care) SX109 837P
Molina Healthcare of Utah (aka American Family Care)
Payer ID
12X09
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Utah (aka American Family Care) 12X09 837I
Molina Healthcare of WA Encounters
Payer ID
43174
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837P
Molina Healthcare of WA Encounters
Payer ID
43174
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837I
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Healthcare of Washington 38336 837P
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Healthcare of Washington 38336 837I
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Healthcare of Wisconsin ABRI1 837P
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Healthcare of Wisconsin ABRI1 837I
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Medicaid Solutions - Idaho MCDID 837P
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Medicaid Solutions - Louisiana MCDLA 837P
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Medicaid Solutions - Louisiana MCDLA 837I
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Ohio Medicaid 73160 837P
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Molina Ohio Medicaid 73160 837I
Momentum Insurance Plans, Inc.
Payer ID
31415
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Momentum Insurance Plans, Inc. 31415 837D
Monarch Healthcare IPA
Payer ID
IP095
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Monarch Healthcare IPA IP095 837P
Monarch Healthcare IPA
Payer ID
IP095
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Monarch Healthcare IPA IP095 837I
Montana State Fund - WC
Payer ID
J2893
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Montgomery J1424 837P
Montgomery County Self-Insurance Program (MD) - CORVEL
Payer ID
J1890
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Montgomery County Self-Insurance Program (MD) - CORVEL J1890 837P
Montgomery County Texas
Payer ID
A0179
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Montgomery County Texas A0179 837P
Monument Administrators - Guardian Comp
Payer ID
J1530
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.