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
NOTES
MedBen
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment form is under the name "Medical Benefits Mutual"
MedBen 74323 835
Medcare Partners - Physician Partners IPA
Payer ID
MCPPP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Connectivity for Medicaid District of Columbia is expected to be restored on March 17, 2026. Complete your ERA Enrollment before March 17, 2026 to continue receiving electronic remittance advices.
Medicaid District of Columbia 77033 835
Medicaid Florida
Payer ID
77027
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Office Ally is not accepting New Enrollments at this time for Medicaid Florida.
Medicaid Florida 77027 835
Medicaid Georgia
Payer ID
77034
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
Medicaid Georgia 77034 835
Medicaid Hawaii
Payer ID
MCDHI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Hawaii MCDHI 835
Medicaid Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Idaho MCDID 835
Medicaid Indiana
Payer ID
MCDIN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Indiana MCDIN 835
Medicaid Iowa
Payer ID
18049
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa 18049 835
Medicaid Iowa SNMIS
Payer ID
SNMIS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa SNMIS SNMIS 835
Medicaid Kansas
Payer ID
MCDKS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kansas MCDKS 835
Medicaid Kentucky
Payer ID
MCDKY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kentucky MCDKY 835
Medicaid Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Louisiana MCDLA 835
Medicaid Louisiana (Ambulance)
Payer ID
AMBLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI Enrollment Form is the same as Medicaid Louisiana.
Medicaid Louisiana (Ambulance) AMBLA 835
Medicaid Louisiana (Durable Medical Equipment)
Payer ID
DMELA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DME (Durable Medical Equipment) Claims Only. EDI enrollment is the same as Medicaid Louisiana.
Medicaid Louisiana (Durable Medical Equipment) DMELA 835
Medicaid Louisiana Medicare Advantage
Payer ID
MCALA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For EDI enrollment, use the Medicaid Louisiana instructions.
Medicaid Louisiana Medicare Advantage MCALA 835
Medicaid Maine
Payer ID
MCDME
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Maine MCDME 835
Medicaid Maryland
Payer ID
MCDMD
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Maryland MCDMD 835
Medicaid Massachusetts
Payer ID
MCDMA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Massachusetts MCDMA 835
Medicaid Michigan
Payer ID
00111
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Michigan 00111 835
Medicaid Minnesota
Payer ID
MCDMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Minnesota MCDMN 835
Medicaid Mississippi
Payer ID
77032
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Mississippi 77032 835
Medicaid Missouri
Payer ID
MCDMO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Missouri MCDMO 835
Medicaid Montana
Payer ID
MCDMT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Montana MCDMT 835
Medicaid Nebraska
Payer ID
MCDNE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Nebraska MCDNE 835
Medicaid Nevada
Payer ID
MC008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Nevada MC008 835
Medicaid New Hampshire
Payer ID
MCDNH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Hampshire MCDNH 835
Medicaid New Jersey
Payer ID
MCDNJ
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Jersey MCDNJ 835
Medicaid New Mexico
Payer ID
NMMAD
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Mexico NMMAD 835
Medicaid New York
Payer ID
MCDNY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Annual re-certification is required.
Medicaid New York MCDNY 835
Medicaid North Carolina
Payer ID
NCXIX
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid North Carolina NCXIX 835
Medicaid North Dakota
Payer ID
MCDND
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid North Dakota MCDND 835
Medicaid Ohio
Payer ID
MCDOH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Ohio MCDOH 835
Medicaid Oklahoma
Payer ID
MCDOK
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Oklahoma MCDOK 835
Medicaid Oregon
Payer ID
ORDHS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Oregon ORDHS 835
Medicaid Pennsylvania
Payer ID
MCDPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Pennsylvania MCDPA 835
Medicaid Rhode Island
Payer ID
MCDRI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Rhode Island MCDRI 835
Medicaid South Carolina
Payer ID
SCXIX
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid South Carolina SCXIX 835
Medicaid South Dakota
Payer ID
MCDSD
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid South Dakota MCDSD 835
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.
Medicaid Tennessee / TennCare 00890 835
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Texas TMHP1 835
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through fee applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 835
Medicaid Vermont
Payer ID
MCDVT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Vermont MCDVT 835
Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Virginia MCDVA 835
Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Washington MC006 835
Medicaid Washington DC
Payer ID
77033
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Connectivity for Medicaid District of Columbia is expected to be restored on March 17, 2026. Complete your ERA Enrollment before March 17, 2026 to continue receiving electronic remittance advices.
Medicaid Washington DC 77033 835
Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid West Virginia MCDWV 835
Medicaid Wisconsin
Payer ID
MCDWI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Wisconsin MCDWI 835
Medicaid Wyoming
Payer ID
77046
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Wyoming 77046 835
Medical Benefits Administrators, Inc.
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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ERA Enrollment form is under the name "Medical Benefits Mutual"
Medical Benefits Administrators, Inc. 74323 835
Medical Benefits Companies
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA Enrollment form is under the name "Medical Benefits Mutual"
Medical Benefits Companies 74323 835
Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Benefits Mutual 74323 835
Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Benefits Mutual Life Insurance Co. 74323 835
Medi-Cal (California Medicaid)
Payer ID
MC051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Medi-Cal (California Medicaid) MC051 835
Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Card System (MCS) L0170 835
Medi-Cal Dental
Payer ID
94146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
Hide note
ERA Enrollment is completed with EDI Enrollment.
Medi-Cal Dental 94146 835
Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
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Medical Mutual of Ohio 29076 835
Medica Medicare Supplement
Payer ID
96559
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Medica Medicare Supplement 96559 835
Medicare Alabama
Payer ID
10102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Medicare Alabama 10102 835
Medicare Alaska
Payer ID
MR010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Medicare Alaska MR010 835
Medicare Arizona
Payer ID
MR008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Medicare Arizona MR008 835
Medicare Arkansas
Payer ID
MR086
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Medicare Arkansas MR086 835
Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
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Medicare California (North) MR001 835
Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
Hide note
Medicare California (South) MR002 835
Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
View note
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Medicare Colorado MR004 835
Medicare Connecticut
Payer ID
13102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Connecticut 13102 835
Medicare Delaware
Payer ID
00902
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Delaware 00902 835
Medicare District of Columbia
Payer ID
00903
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare District of Columbia 00903 835
Medicare Florida
Payer ID
MR025
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Florida MR025 835
Medicare Georgia
Payer ID
10202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Medicare Georgia 10202 835
Medicare Hawaii
Payer ID
MR057
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
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Medicare Hawaii MR057 835
Medicare – HHH J11 (Palmetto)
Payer ID
11001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J11 (Palmetto) 11001 835
Medicare – HHH J15 (CGS)
Payer ID
15004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J15 (CGS) 15004 835
Medicare Idaho
Payer ID
MR003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
Hide note
Medicare Idaho MR003 835
Medicare Illinois
Payer ID
MCRIL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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View note
Hide note
Medicare Illinois MCRIL 835
Medicare Indiana
Payer ID
MR089
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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Medicare Indiana MR089 835
Medicare Iowa
Payer ID
05102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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Medicare Iowa 05102 835
Medicare J04911
Payer ID
04911
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EDI enrollment form under Payer Enrollment Forms - All or Multiple States
