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
attachment
WC / Auto
NOTES
Preferred Admin Childrens Hosp
Payer ID
EPF11
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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Preferred Admin Childrens Hosp EPF11 837P
Preferred Administrator
Payer ID
EPF10
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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Preferred Administrator EPF10 837P
Preferred Benefit Administrators
Payer ID
53476
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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Preferred Benefit Administrators 53476 837P
Preferred Benefit Administrators
Payer ID
53476
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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Preferred Benefit Administrators 53476 837I
Preferred Blue of South Carolina
Payer ID
00481
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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Preferred Blue of South Carolina 00481 837P
Preferred Care Partners - Florida
Payer ID
65088
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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Preferred Care Partners - Florida 65088 837P
Preferred Care Partners - Florida
Payer ID
65088
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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Preferred Care Partners - Florida 65088 837I
Preferred Community Choice
Payer ID
73145
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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Preferred Community Choice 73145 837P
Preferred Community Choice
Payer ID
73145
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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Preferred Community Choice 73145 837I
Preferred Community Choice - PCCSelect - CompMed
Payer ID
73145
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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Preferred Community Choice - PCCSelect - CompMed 73145 837P
Preferred Employers Insurance Company (PEI)
Payer ID
J1496
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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Preferred Employers Insurance Company (PEI) J1496 837P
Preferred Health Care (PHC)
Payer ID
33898
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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Preferred Health Care (PHC) 33898 837P
Preferred Health Care (PHC)
Payer ID
33898
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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Preferred Health Care (PHC) 33898 837I
Preferred Health Plan of the Carolinas
Payer ID
CB404
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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Preferred Health Plan of the Carolinas CB404 837P
Preferred Health Plan of the Carolinas
Payer ID
CB404
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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Preferred Health Plan of the Carolinas CB404 837I
Preferred Health Professionals
Payer ID
31478
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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Preferred Health Professionals 31478 837P
Preferred Health Professionals
Payer ID
31478
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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Preferred Health Professionals 31478 837I
Preferred Healthcare System - PPO
Payer ID
04320
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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Preferred Healthcare System - PPO 04320 837P
Preferred Healthcare System - PPO
Payer ID
04320
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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Preferred Healthcare System - PPO 04320 837I
Preferred IPA
Payer ID
PFIPA
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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EFT enrollment is required to receive Electronic Remittance Advice. Contact Preferred IPA provider relations for more information
Preferred IPA PFIPA 837P
Preferred IPA
Payer ID
PFIPA
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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EFT enrollment is required to receive Electronic Remittance Advice. Contact Preferred IPA provider relations for more information
Preferred IPA PFIPA 837I
Preferred Mutual
Payer ID
J3864
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.
Preferred Mutual J3864 837P
Preferred Network Access, Inc.
Payer ID
36401
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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Preferred Network Access, Inc. 36401 837P
Preferred Network Access, Inc.
Payer ID
36401
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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Preferred Network Access, Inc. 36401 837I
PreferredOne
Payer ID
41147
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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PreferredOne 41147 837P
PreferredOne
Payer ID
41147
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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PreferredOne 41147 837I
Premera Blue Cross Blue Shield of Alaska
Payer ID
00430
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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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross Blue Shield of Alaska 00430 837P
Premera Blue Cross Blue Shield of Alaska
Payer ID
00430
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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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross Blue Shield of Alaska 00430 837I
Premera Blue Cross of Washington
Payer ID
00430
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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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross of Washington 00430 837P
Premera Blue Cross of Washington
Payer ID
00430
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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PO Box 91059 Seattle, WA 98111.
Premera Blue Cross of Washington 00430 837I
Premier Access Insurance Company
Payer ID
CX078
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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Premier Access Insurance Company CX078 837D
Premier Administrative Solutions
Payer ID
65415
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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Premier Administrative Solutions 65415 837P
Premier Administrative Solutions
Payer ID
65415
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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Premier Administrative Solutions 65415 837I
Premier Care of Northern California
Payer ID
CAPMN
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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Premier Care of Northern California CAPMN 837P
Premier Care of Northern California
Payer ID
CAPMN
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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Premier Care of Northern California CAPMN 837I
Premier Eye Care
Payer ID
65054
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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Premier Eye Care 65054 837P
Premier Group Insurance - CORVEL
Payer ID
J3334
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.
Premier Group Insurance - CORVEL J3334 837P
Premier Health Systems
Payer ID
29076
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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Premier Health Systems 29076 837P
Premier Health Systems
Payer ID
29076
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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Premier Health Systems 29076 837I
Premier HealthCare Exchange (PHX) - A-G Admin (SOMA group)
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