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
Medicare South Dakota
Payer ID
MR084
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare South Dakota MR084 835
Medicare Tennessee
Payer ID
10301
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Tennessee 10301 835
Medicare Tennessee
Payer ID
MR034
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Tennessee MR034 835
Medicare Texas
Payer ID
MR085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Texas MR085 835
Medicare Utah
Payer ID
MR046
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Utah MR046 835
Medicare Vermont
Payer ID
14512
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Vermont 14512 835
Medicare Virgin Islands
Payer ID
09302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Virgin Islands 09302 835
Medicare Virginia (Palmetto)
Payer ID
11302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Includes all cities/counties except Alexandria, Arlington & Fairfax.
Medicare Virginia (Palmetto) 11302 835
Medicare Washington
Payer ID
MR006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Washington MR006 835
Medicare Washington DC
Payer ID
00903
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Washington DC 00903 835
Medicare West Virginia
Payer ID
11402
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare West Virginia 11402 835
Medicare Wisconsin
Payer ID
06302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Wisconsin 06302 835
Medicare Wyoming
Payer ID
MR074
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Wyoming MR074 835
Medicare – HHH J11 (Palmetto)
Payer ID
11001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J15 (CGS) 15004 835
Medicina Familiar Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Medicina Familiar Medical Group CAPMN 835
Medico Insurance
Payer ID
23160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medico Insurance 23160 835
MedMutual Protect Medicare Supplement
Payer ID
96554
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.
MedMutual Protect Medicare Supplement 96554 835
MedSolutions, Inc
Payer ID
62160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedSolutions, Inc 62160 835
MedStar Family Choice DC
Payer ID
RP062
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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MedStar Family Choice DC RP062 835
MedStar Family Choice MD
Payer ID
RP063
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedStar Family Choice MD RP063 835
MedStar Family Choice of DC
Payer ID
39190
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedStar Family Choice of DC 39190 835
Memorial Hermann Health Network (MHHN)
Payer ID
MHHNP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Memorial Hermann Health Network (MHHN) MHHNP 835
Memorial Integrated Healthcare (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Commercial) 59064 835
Memorial Integrated Healthcare (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Medicaid) 59065 835
Memorial Medical Center - Non Sutter
Payer ID
SC054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Memorial Medical Center - Non Sutter SC054 835
MemorialCare Independent Physicians (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Independent Physicians (formerly known as Greater Newport Physicians) GNPMG 835
MemorialCare Medical Foundation
Payer ID
MMFMC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation MMFMC 835
MemorialCare Medical Foundation Cap Services
Payer ID
MMFCS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation Cap Services MMFCS 835
MemorialCare Medical Foundation UCI
Payer ID
MMFUC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation UCI MMFUC 835
MemorialCare Select Health Plan
Payer ID
46187
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(formerly known Seaside Health Plan). The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Select Health Plan 46187 835
Mercy Care Health Plans WI IL
Payer ID
39114
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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Mercy Care Health Plans WI IL 39114 835
Mercy Care Plan (AHCCCS)
Payer ID
86052
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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Mercy Care Plan (AHCCCS) 86052 835
Mercy Care RBHA
Payer ID
33628
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mercy Care RBHA 33628 835
Mercy Physicians Medical Group (MPMG)
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mercy Physicians Medical Group (MPMG) PROSP 835
Meridian Health Plan Illinois Complete
Payer ID
MHPIL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Meridian Health Plan Illinois Complete MHPIL 835
Meridian Health Plan Michigan Complete
Payer ID
MHPMI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Meridian Health Plan Michigan Complete MHPMI 835
Meridian PACE Solutions
Payer ID
MPSAB
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Meridian PACE Solutions MPSAB 835
Meritage Medical Network
Payer ID
IP097
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Marin Sonoma IPA. Payer requires EFT enrollment in order to receive ERA.
Meritage Medical Network IP097 835
Meritain Health
Payer ID
41124
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as EV Benefits, Iowa Benefits, NABN, Performax, Risk Benefit, WellNet. Enrollment completed under 'Meritain Health' in ECHO.
Meritain Health 41124 835
Metro Plus Health Plan
Payer ID
13265
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Metro Plus Health Plan 13265 835
Metropolitan IPA d.b.a Community Family Care IPA
Payer ID
NMM05
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment completed under CFCHP (Astrana Healthcare) via Zelis
Metropolitan IPA d.b.a Community Family Care IPA NMM05 835
Michigan Fidelis Secure Care (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Michigan Fidelis Secure Care (Centene) 68069 835
Michigan Medicaid BCCCNP
Payer ID
BCCCP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Michigan Medicaid BCCCNP BCCCP 835
Mid Cities IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Mid Cities IPA CAPMN 835
Mid-America Associates Inc.
Payer ID
37281
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mid-America Associates Inc. 37281 835
Midwest Group Benefits
Payer ID
61146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Midwest Group Benefits 61146 835
Minnesota Health Care Program
Payer ID
MCDMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Use the Medicaid Minnesota Enrollment Form.
Minnesota Health Care Program MCDMN 835
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
Payer ID
37233
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Mississippi Public Entity Employee Benefit Trust (MPEEBT) 37233 835
Mississippi Select Health Care
Payer ID
64088
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Gulfport, MS.
Mississippi Select Health Care 64088 835
Mississippi TrueCare
Payer ID
MSTRC
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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Enrollment is found and completed under TrueCare Mississippi
Mississippi TrueCare MSTRC 835
Missouri Medicare Select
Payer ID
MMS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Missouri Medicare Select MMS01 835
MMM Healthcare
Payer ID
L0210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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MMM Healthcare L0210 835
MMM Multi Health (Reform)
Payer ID
66065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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MMM Multi Health (Reform) 66065 835
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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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Moda Health (Formerly ODS Health Plan) 13350 835
Molina Complete Care of Virginia
Payer ID
MCC02
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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Enrollment completed under 'Molina Healthcare'
Molina Complete Care of Virginia MCC02 835
Molina Healthcare of Arizona
Payer ID
MCC01
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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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Arizona MCC01 835
Molina Healthcare of California
Payer ID
38333
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of California 38333 835
Molina Healthcare of Florida
Payer ID
51062
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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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Florida 51062 835
Molina Healthcare of Idaho
Payer ID
61799
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Idaho 61799 835
Molina Healthcare of Illinois
Payer ID
20934
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Illinois 20934 835
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Iowa MLNIA 835
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Michigan 38334 835
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Mississippi 77010 835
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nebraska MLNNE 835
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nevada MLNNV 835
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Molina Healthcare of New Mexico NM505 835
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Molina Healthcare of New Mexico - Salud 09824 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Former Payer ID TCARE Enrollment completed under 'Molina Healthcare'
Molina Healthcare of New York (formerly Total Care) 16146 835
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Ohio 20149 835
Molina Healthcare of Puerto Rico
Payer ID
81794
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Molina Healthcare of Puerto Rico 81794 835
Molina Healthcare of South Carolina
Payer ID
46299
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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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of South Carolina 46299 835
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Texas 20554 835
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Utah (aka American Family Care) SX109 835
Molina Healthcare of Washington
Payer ID
38336
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Washington 38336 835
Molina Healthcare of Wisconsin
Payer ID
ABRI1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Wisconsin ABRI1 835
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Molina Medicaid Solutions - Idaho MCDID 835
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
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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Molina Medicaid Solutions - Louisiana MCDLA 835
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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ERA Enrollment should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
Molina Ohio Medicaid 73160 835
Monitor Life Medicare Supplement
Payer ID
98244
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.
Monitor Life Medicare Supplement 98244 835
Motion Picture Industry Health Plan
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Payer ID 47198
Motion Picture Industry Health Plan BC001 835
MotivHealth Insurance Company
Payer ID
U7632
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. Payer returns ERAs automatically after claim submission.
