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
Amada - North Bay
Payer ID
AMDA4
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; however, an active ERA Delivery Change Form must be on file to retrieve ERA files.
Amada - North Bay AMDA4 835
AMA Insurance
Payer ID
THO71
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only Payer. Enrollment is completed through ECHO.
AMA Insurance THO71 835
Amalgamated Insurance Company
Payer ID
13550
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Amalgamated Insurance Company 13550 835
Amalgamated Life
Payer ID
13550
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Amalgamated Life 13550 835
Ambetter from Meridian
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.
Ambetter from Meridian 68069 835
Ambetter of Arkansas (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.
Ambetter of Arkansas (Centene) 68069 835
Ambetter of Delaware (Centene)
Payer ID
68069
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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ERA enrollment forms will be listed under Centene Corporation.
Ambetter of Delaware (Centene) 68069 835
Ambetter of Missouri (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.
Ambetter of Missouri (Centene) 68069 835
Ambetter of New Hampshire (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.
Ambetter of New Hampshire (Centene) 68069 835
Ambetter of Tennessee (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.
Ambetter of Tennessee (Centene) 68069 835
Ameriben Solutions, Inc.
Payer ID
75137
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ameriben Solutions, Inc. 75137 835
American Choice Healthcare
Payer ID
R5661
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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American Choice Healthcare R5661 835
American Family Health Providers
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.
American Family Health Providers CAPMN 835
American Family Mutual Insurance Co
Payer ID
C1055
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.
American Family Mutual Insurance Co C1055 835
American Health Advantage of Indiana
Payer ID
RP115
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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American Health Advantage of Indiana RP115 835
American Health Advantage of Indiana
Payer ID
RP115
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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American Health Advantage of Indiana RP115 835
American Health Advantage of Oklahoma
Payer ID
31125
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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American Health Advantage of Oklahoma 31125 835
American National Insurance Co.
Payer ID
74048
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Also includes Medicare Supplement, Texas Medicare Supplement, Standard Life & Accident Insurance Company, & Garden State Life Insurance Medicare Supplement
American National Insurance Co. 74048 835
American Postal Workers Union (APWU)
Payer ID
39026
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer ID 39026 - Primary Medical Claims
In all states including the Virgin Islands, UnitedHealthcare Shared Services is the member’s local PPO network. If APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider to UnitedHealthcare Shared Services with Payer ID 39026.
American Postal Workers Union (APWU) 39026 835
American Postal Workers Union (APWU)
Payer ID
44444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer ID 44444 - Secondary Medical Claims
Payer ID 39026 - Primary Medical Claims
In all states including the Virgin Islands, UnitedHealthcare Shared Services is the member’s local PPO network. If APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider to UnitedHealthcare Shared Services with Payer ID 39026.
American Postal Workers Union (APWU) 44444 835
American Primary Care Alliance IPA
Payer ID
APCA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs will be sent automatically after the provider begins submitting.
American Primary Care Alliance IPA APCA1 835
American Specialty Health Plan
Payer ID
ASHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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American Specialty Health Plan ASHP1 835
America's Choice Healthplan
Payer ID
20029
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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America's Choice Healthplan 20029 835
America's Health Choice
Payer ID
20029
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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America's Health Choice 20029 835
Americo Financial Life & Annuity Insurance Co Medicare Supplement
Payer ID
26509
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.
Americo Financial Life & Annuity Insurance Co Medicare Supplement 26509 835
Amerigroup (GA, NM, DC)
Payer ID
26375
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remit instructions are listed under the name of Amerigroup Corporation.
Amerigroup (GA, NM, DC) 26375 835
AmeriHealth Administrator
Payer ID
54763
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AmeriHealth Administrator 54763 835
AmeriHealth Caritas Delaware
Payer ID
77799
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Plan effective 1/1/2018. ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Delaware 77799 835
AmeriHealth Caritas District of Columbia
Payer ID
77002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas District of Columbia 77002 835
AmeriHealth Caritas Florida
Payer ID
77003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Florida 77003 835
AmeriHealth Caritas Louisiana
Payer ID
27357
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Louisiana Care (LACare). ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Louisiana 27357 835
AmeriHealth Caritas New Hampshire
Payer ID
87716
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas New Hampshire 87716 835
AmeriHealth Caritas Next Florida
Payer ID
45408
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AmeriHealth Caritas Next Florida 45408 835
AmeriHealth Caritas North Carolina
Payer ID
81671
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas North Carolina 81671 835
Amerihealth Caritas Ohio Medicaid
Payer ID
35374
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Amerihealth Caritas Ohio Medicaid 35374 835
Amerihealth Caritas Pennsylvania
Payer ID
22248
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Amerihealth Caritas Pennsylvania 22248 835
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 835
AmeriHealth Caritas VIP Care - Delaware DSNP
Payer ID
87406
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas VIP Care - Delaware DSNP 87406 835
AmeriHealth Caritas VIP Care - Florida DSNP
Payer ID
88232
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas VIP Care - Florida DSNP 88232 835
Amerihealth Caritas VIP Care - Michigan HIDE SNP
Payer ID
90689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Amerihealth Caritas VIP Care - Michigan HIDE SNP 90689 835
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 835
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.
Anthem Medicaid of Ohio 29370 835
Anthem Medicaid - Wisconsin
Payer ID
00950
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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Anthem Medicaid - Wisconsin 00950 835
Anthem NV Medicaid
Payer ID
00265
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer ID: 00269. Previously known as Amerigroup Community Care NV. Effective February 1, 2018.
Anthem NV Medicaid 00265 835
APAC (Pinnacle Health Resources)
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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APAC (Pinnacle Health Resources) PROSP 835
AppleCare Medical Management
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please use the enrollment form located under Optum Care Network.
AppleCare Medical Management APP01 835
Arcadia Methodist IPA
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Arcadia Methodist IPA NMM01 835
Arcadian Management Services
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Arcadian Management Services 61101 835
ArchCare Senior Life
Payer ID
R3495
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ArchCare Senior Life R3495 835
Arch Health Partners/Centre for Healthcare
Payer ID
SCMG1
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
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.
Arch Health Partners/Centre for Healthcare SCMG1 835
Arizona Complete Health (Centene)
Payer ID
68069
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 forms will be listed under Centene Corporation.
Arizona Complete Health (Centene) 68069 835
Arizona Priority Care Plus
Payer ID
AZPCP
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.
Arizona Priority Care Plus AZPCP 835
ARM, Ltd
Payer ID
63240
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ARM, Ltd 63240 835
Arroyo Vista Family Health Center
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Arroyo Vista Family Health Center NMM01 835
Ascension Living Hope Pace
Payer ID
R3470
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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Ascension Living Hope Pace R3470 835
Asian American Medical Group
Payer ID
AAMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Asian American Medical Group AAMG1 835
Aspirus Medicare Advantage
Payer ID
36483
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Aspirus Medicare Advantage 36483 835
ASRM LLC
Payer ID
ASRM1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ASRM LLC ASRM1 835
Assurant Health Self-Funded (Allied Benefit)
Payer ID
75068
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Assurant Health Self-Funded (Allied Benefit) 75068 835
Assured Benefits Administrators
Payer ID
74240
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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Assured Benefits Administrators 74240 835
Asuris Northwest Health
Payer ID
93221
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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Asuris Northwest Health 93221 835
Atrio Health Plans
Payer ID
ATRIO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Atrio Health Plans ATRIO 835
AultCare/PrimeTime Health Plan
Payer ID
MNAUL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AultCare/PrimeTime Health Plan MNAUL 835
Automated Benefit Services
Payer ID
38259
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automated Benefit Services 38259 835
Automated Benefit Services
Payer ID
38259
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automated Benefit Services 38259 835
Auto-Owners \ Home-Owners Insurance Company - CORVEL
Payer ID
J1580
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.
Auto-Owners \ Home-Owners Insurance Company - CORVEL J1580 835
Auto-Owners \ Owners Insurance Company - CORVEL
Payer ID
J1583
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.
Auto-Owners \ Owners Insurance Company - CORVEL J1583 835
Auto-Owners \ Property-Owners Insurance Co - CORVEL
Payer ID
J1699
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.
Auto-Owners \ Property-Owners Insurance Co - CORVEL J1699 835
Auto-Owners \ Southern-Owners Company - CORVEL
Payer ID
J1688
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.
Auto-Owners \ Southern-Owners Company - CORVEL J1688 835
Auxiant
Payer ID
AUX01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Auxiant AUX01 835
Avalon Healthcare Solutions
Payer ID
AVA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Submitter must contact the payer at 855-895-1676 (Provider Services) prior to sending claims.
Avalon Healthcare Solutions AVA01 835
Avalon IPA
Payer ID
CAPMN
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 under Conifer Health Solutions.
Avalon IPA CAPMN 835
Avera Health Plans
Payer ID
46045
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Avera Health Plans 46045 835
Avera Health Plans for John Morrell
Payer ID
38310
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Avera Health Plans for John Morrell 38310 835
AvMed
Payer ID
59274
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AvMed 59274 835
A.W. Holdings LLC Dba Benchmark - CORVEL
Payer ID
J1976
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.
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.
Axminster Medical Group STJOE 835
Bakersfield Family Medical Center (BFMC) (Regal)
Payer ID
BKRFM
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Bakersfield Family Medical Center (BFMC) (Regal) BKRFM 835
Baldwin & Lyons, Inc. (Previous Name Protective Insurance Co) - CORVEL
Payer ID
J2301
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.
Baldwin & Lyons, Inc. (Previous Name Protective Insurance Co) - CORVEL J2301 835
Bankers Conseco Life (ERA Only)
Payer ID
68560
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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This payer ID is for ERAS only.
Bankers Conseco Life (ERA Only) 68560 835
Bankers Fidelity Life Insurance Company (ERA Only)
Payer ID
71919
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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This payer ID is for ERAS only.
Bankers Fidelity Life Insurance Company (ERA Only) 71919 835
Banner Medicare Advantage Plus PPO
Payer ID
84324
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.
Banner Medicare Advantage Plus PPO 84324 835
Banner Medicare Advantage Prime HMO
Payer ID
84323
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.
