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
Optum Speciality
Payer ID
52133
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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Optum Speciality 52133 837D
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
Payer ID
41194
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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Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 837P
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
Payer ID
41194
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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Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 837I
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
Payer ID
LIFE1
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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EFT enrollment is required in order to activate ERAs.
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network) LIFE1 837P
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
Payer ID
LIFE1
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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EFT enrollment is required in order to activate ERAs.
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network) LIFE1 837I
OptumCare Network - Monarch
Payer ID
IP095
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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OptumCare Network - Monarch IP095 837P
OptumCare Network - Monarch
Payer ID
IP095
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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OptumCare Network - Monarch IP095 837I
OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health )
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health ) 87726 837P
OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health )
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health ) 87726 837I
OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health )
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions (formerly United Behavioral Health [UBH] and PacifiCare Behavioral Health ) 87726 837D
OptumHealth / OptumHealth Behavioral Solutions of NM
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions of NM 87726 837P
OptumHealth / OptumHealth Behavioral Solutions of NM
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions of NM 87726 837I
OptumHealth / OptumHealth Behavioral Solutions of NM
Payer ID
87726
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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OptumHealth / OptumHealth Behavioral Solutions of NM 87726 837D
OptumHealth / OptumHealth Physical Health (includes Oxford) (Formerly ACN)