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
UC Irvine
Payer ID
UCI01
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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Effective for Dates of service 8/1/2019
UC Irvine UCI01 837I
UC Irvine Health (MemorialCare)
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".
UC Irvine Health (MemorialCare) MMFUC 837P
UC Irvine Health (MemorialCare)
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".
UC Irvine Health (MemorialCare) MMFUC 837I
UCLA Health Medicare Advantage Plan
Payer ID
28189
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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UCLA Health Medicare Advantage Plan 28189 837P
UCLA Health Medicare Advantage Plan
Payer ID
28189
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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UCLA Health Medicare Advantage Plan 28189 837I
UCLA Medical Group
Payer ID
USMBP
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 ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837P
UCLA Medical Group
Payer ID
USMBP
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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Payer returns ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837I
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837P
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837I