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
Provider Partners Health Plan of Texas
Payer ID
31405
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837P
Provider Partners Health Plan of Texas
Payer ID
31405
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Texas 31405 837I
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
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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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837P
Provider Partners Missouri Community Plan (HMO I-SNP)
Payer ID
31404
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Payer returns ERA's automatically once electronic claim submission begins.
Provider Partners Missouri Community Plan (HMO I-SNP) 31404 837I
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837P
Provider Partners North Carolina Community Plan
Payer ID
31406
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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Provider Partners North Carolina Community Plan 31406 837I
Prudent Medical Group
Payer ID
MPM25
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 as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837P
Prudent Medical Group
Payer ID
MPM25
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Formerly known as Hollywood Presbyterian Medical Group
Prudent Medical Group MPM25 837I
Pruitt Health Premier
Payer ID
PH001
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 ERA's automatically once electronic claim submission begins.
Pruitt Health Premier PH001 837P
Pruitt Health Premier
Payer ID
PH001
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
Payer returns ERA's automatically once electronic claim submission begins.
Pruitt Health Premier PH001 837I
Pruitt Health Premier NC & SC
Payer ID
PHPC1
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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Pruitt Health Premier NC & SC PHPC1 837P
Pruitt Health Premier NC & SC
Payer ID
PHPC1
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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Pruitt Health Premier NC & SC PHPC1 837I
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 837P
PsycHealth Care Management LLC
Payer ID
A2797
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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PsycHealth Care Management LLC A2797 837I
Psychiatric Centers at San Diego (PCSD)
Payer ID
PCSD1
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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Psychiatric Centers at San Diego (PCSD) PCSD1 837P
Public Alliance Insurance Coverage Fund (PAIC Jif)
Payer ID
J3936
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp only.
Public Alliance Insurance Coverage Fund (PAIC Jif) J3936 837P
Public Employees Health Plan (PEHP)
Payer ID
SX106
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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A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837P
Public Employees Health Plan (PEHP)
Payer ID
SX106
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
A UHIN pass through few applies to this transaction.
Public Employees Health Plan (PEHP) SX106 837I
Public Health Medical Services (PHMS)
Payer ID
AMM03
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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Public Health Medical Services (PHMS) AMM03 837P
Public Health Medical Services (PHMS)
Payer ID
AMM03
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Public Health Medical Services (PHMS) AMM03 837I
Public WC Program
Payer ID
J3949
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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Hide note
Workers Comp only.
Public WC Program J3949 837P
Publix Super Markets, Inc.
Payer ID
J1897
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.