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
UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete)
Payer ID
95378
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / TN (formerly AmeriChoice TN: TennCare, Secure Plus Complete) 95378 835
UnitedHealthcare Community Plan / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
Payer ID
87726
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare Community Plan / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare) 87726 835
UnitedHealthcare / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare)
Payer ID
87726
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthcare / UnitedHealthcare Plan of the River Valley (formerly John Deere Healthcare) 87726 835
UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare)
Payer ID
95959
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Claims are submitted to 87726, and ERA enrollment completed under 95959.
UnitedHealthcare / UnitedHealthcare West (formerly PacifiCare) 95959 835
UnitedHealthOne / Golden Rule
Payer ID
37602
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / Golden Rule 37602 835
UnitedHealthOne / PacifiCare Life and Health Insurance Company
Payer ID
81400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / PacifiCare Life and Health Insurance Company 81400 835
UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security)
Payer ID
81400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UnitedHealthOne / UnitedHealthcare Life Insurance Company (formerly American Medical Security) 81400 835
United of Omaha
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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United of Omaha 71412 835
Unite Health Share Ministries
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Unite Health Share Ministries 07689 835
Unity Health Insurance
Payer ID
66705
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment must be completed under Quartz.
Unity Health Insurance 66705 835
Univera Healthcare (Excellus)
Payer ID
16107
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Univera Healthcare (Excellus) 16107 835
Univera PPO (Excellus)
Payer ID
UNINW
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Univera PPO (Excellus) UNINW 835
University Care Advantage
Payer ID
09830
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
University Care Advantage 09830 835
University Family Care
Payer ID
09830
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
University Family Care 09830 835
University Health Alliance
Payer ID
UHA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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University Health Alliance UHA01 835
University of Utah Health Plans
Payer ID
SX155
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.
University of Utah Health Plans SX155 835
University Texas Medical Board
Payer ID
UTMBC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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University Texas Medical Board UTMBC 835
Upland Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Upland Medical Group PROSP 835
UPMC Health Plan
Payer ID
23281
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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UPMC Health Plan 23281 835
Upper Peninsula Health Plan
Payer ID
38337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Upper Peninsula Health Plan 38337 835
US Benefits
Payer ID
93092
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Benefits 93092 835
US Department of Labor
Payer ID
77044
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor 77044 835
US Department of Labor - Black Lung
Payer ID
77104
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor - Black Lung 77104 835
US Department of Labor - Energy
Payer ID
77103
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Department of Labor - Energy 77103 835
US Family Health Plan of Texas and Louisiana (USFHP)
Payer ID
USFHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Family Health Plan of Texas and Louisiana (USFHP) USFHP 835
US Imaging Network
Payer ID
50383
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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US Imaging Network 50383 835
VA Community Care Network Region 1
Payer ID
VACCN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 7/29/2019. Coverage: CT, DE, ME, MD, MA, NH, NJ, NY, NC, PA, RI, VT, VA, WV, DC.
VA Community Care Network Region 1 VACCN 835
VA Community Care Network Region 2
Payer ID
VACCN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or After 10/8/2019. Coverage: ND, SD, NE, KS, MN, IA, MO, WI, IL,MI, IN, OH, KY.
VA Community Care Network Region 2 VACCN 835
VA Community Care Network Region 3
Payer ID
VACCN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 1/08/2020. Coverage: FL, SC, GA, AL, TN,MS, LA, AR, OK
VA Community Care Network Region 3 VACCN 835
VA Fee Basis Programs
Payer ID
12115
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VA Fee Basis Programs 12115 835
Valley Health Plan
Payer ID
VHP01
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.
Valley Health Plan VHP01 835
Van Lang IPA
Payer ID
77036
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Van Lang IPA 77036 835
Vantage Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Vantage Medical Group PROSP 835
Vantage Medical Group Encounters
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Vantage Medical Group Encounters PROSP 835
Vaya Health (formerly Smoky Mountain)
Payer ID
13010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA's are activated as soon as the provider is approved for EDI submissions.
Vaya Health (formerly Smoky Mountain) 13010 835
Verda Healthcare Texas
Payer ID
VERTX
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 (via Office Ally ONLY). No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Verda Healthcare Texas VERTX 835
Verdegard Administrators
Payer ID
86066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly HMA Hawaii
Verdegard Administrators 86066 835
VGM Homelink
Payer ID
50701
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VGM Homelink 50701 835
ViCare Health
Payer ID
VCH01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ViCare Health VCH01 835
VillageCareMAX
Payer ID
26545
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VillageCareMAX 26545 835
Village Health Plan
Payer ID
SCAN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Village Health Plan SCAN1 835
Village Practice Management Company
Payer ID
36477
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Village Practice Management Company 36477 835
Vision Service Plan (VSP)
Payer ID
94163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Vision Service Plan (VSP) 94163 835
Viva Health Plan
Payer ID
63114
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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Viva Health Plan 63114 835
Vivant Health
Payer ID
RCMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as River City Medical Group
Vivant Health RCMG1 835
VNA Homecare Options
Payer ID
31626
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is done through Nascentia Health
VNA Homecare Options 31626 835
VNS Choice SelectCare
Payer ID
77073
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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VNS Choice SelectCare 77073 835
Volunteers of America National Services
Payer ID
VNSPC
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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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.
Volunteers of America National Services VNSPC 835
Volunteer States Health Plan
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.
Volunteer States Health Plan 00890 835
Volusia Health Network
Payer ID
59266
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Volusia Health Network 59266 835
Washington National Insurance Company
Payer ID
70319
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Washington National Insurance Company 70319 835
W.C. Beeler & Company
Payer ID
62111
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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W.C. Beeler & Company 62111 835
Web TPA
Payer ID
75261
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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Web TPA 75261 835
Wellcare by Allwell (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Ascension Complete. ERA enrollment forms will be listed under Centene Corporation.
Wellcare by Allwell (Centene) 68069 835
Wellcare by Health Net (Centene)
Payer ID
68069
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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ERA enrollment forms will be listed under Centene Corporation.
Wellcare by Health Net (Centene) 68069 835
WellCare Health Plan
Payer ID
14163
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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ERA enrollment instructions can be found under WellCare Health Plan
WellCare Health Plan 14163 835
WellCare HMO
Payer ID
14163
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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ERA enrollment instructions can be found under WellCare Health Plan
WellCare HMO 14163 835
WellCare Private FFS
Payer ID
14163
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 instructions can be found under WellCare Health Plan
WellCare Private FFS 14163 835
Wellmark BCBS
Payer ID
88848
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Covers IA and SD.
Wellmark BCBS 88848 Blue Cross Blue Shield 835
WellMed Medical (Claims)
Payer ID
WELM2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly under Payer ID TH023.
WellMed Medical (Claims) WELM2 835
WellNet Health Plans
Payer ID
25711
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment listed under Wellnet Healthcare Administrators, payer ID: ZP1022
Former Payer ID: 26375. Enrollment forms listed under Wellpoint - Amerigroup.
Wellpoint - Maryland WLPNT 835
Wellpoint - West Virginia
Payer ID
WLPNT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer ID: 26375. Enrollment forms listed under Wellpoint - Amerigroup.
Wellpoint - West Virginia WLPNT 835
Well Sense Health Plan
Payer ID
13337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form listed under BMC HealthNet Plan.
Well Sense Health Plan 13337 835
WellSpace Nexus LLC
Payer ID
NEXUS
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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Hide note
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.
WellSpace Nexus LLC NEXUS 835
WellSystems, LLC
Payer ID
35245
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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WellSystems, LLC 35245 835
Western Intergrated Care (WIC)
Payer ID
J4005
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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.
Western Intergrated Care (WIC) J4005 835
Western Mutual Insurance (WMI)
Payer ID
37247
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Western Mutual Insurance (WMI) 37247 835
Western Oregon Advanced Health
Payer ID
DOCSO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Western Oregon Advanced Health DOCSO 835
Western Sky Community Care (Centene)
Payer ID
68069
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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ERA enrollment forms will be listed under Centene Corporation.
Western Sky Community Care (Centene) 68069 835
West Virginia Senior Choice
Payer ID
WVS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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West Virginia Senior Choice WVS01 835
White Memorial Medical Center
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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White Memorial Medical Center NMM01 835
William C. Earhart Company
Payer ID
93050
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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William C. Earhart Company 93050 835
Wisconsin Assigned Risk Plan (HIRSP)
Payer ID
WPS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Wisconsin Assigned Risk Plan (HIRSP) WPS01 835
Wisconsin Physicians Service (WPS) Commercial
Payer ID
WPS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Wisconsin Physicians Service (WPS) Commercial WPS01 835
