All Available Payers with Office Ally Payer List

Former Payer ID: IP055. Form can be found under "Physicians Data Trust".

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.

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.

Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.

ERA enrollment under Kaiser Foundation Health Plan of Colorado

Formerly Unicare (80314). Enrollment completed under Wellpoint.

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.

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.

All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.

All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.

Office Ally is designated clearinghouse for Real Time Transactions.

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.

ERA Enrollment form is under Connecticare Medicare in instructions library. Enrollment also includes Payers 13551, 55247, and 78375.

When enrolling for 78375 ERAs, you must also enroll under 25531, 13551, and 55247. Office Ally will handle 2016/2017 DOS based routing between Payer ID 78375 and 783PT.

Enrollment instructions listed under Cigna Healthcare.

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.

To enroll for ERA’s, send an email to Contessa Health (info@contessahealth.com). The payer will direct you through their enrollment process.

PO Box 21670 Eagan MN 55121.

ERA enrollment forms will be listed under Centene Corporation.

Enrollment completed under 'Meritain Health' in ECHO.

ERA only payer - IAS Admin Payer.

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.

Atlanta, GA.

ERA only payer - IAS Admin Payer.

ERA only payer - IAS Admin Payer.

ERA can be found under "Premier HealthCare Exchange (PHX) - Cypress Benefit Admin"

Enrollment under "Dean Health Plan"

ERA enrollment forms listed under Centene Corporation.

Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.

ERA Enrollment is completed with EDI Enrollment.

Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)

Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)

A UHIN pass through fee applies to this transaction.

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.

Enrollment is completed under Payer ID 47198

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.