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
Dean Health Plan
Payer ID
39113
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dean Health Plan 39113 835
Dean Health Plan
Payer ID
39113
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dean Health Plan 39113 835
Dean Health Plan (Medica)
Payer ID
41822
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under "Dean Health Plan"
Dean Health Plan (Medica) 41822 835
Dean Health Plan (Medica)
Payer ID
41822
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment under "Dean Health Plan"
Dean Health Plan (Medica) 41822 835
Delano Regional Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Delano Regional Medical Group (Managed Care Systems) MCS03 835
Delano Regional Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Delano Regional Medical Group (Managed Care Systems) MCS03 835
Delaware First Health (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 listed under Centene Corporation.
Delaware First Health (Centene) 68069 835
Delaware First Health (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 listed under Centene Corporation.
Delaware First Health (Centene) 68069 835
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Delta Health Systems DHS01 835
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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.
Delta Health Systems DHS01 835
Denti-Cal
Payer ID
94146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is completed with EDI Enrollment.
Denti-Cal 94146 835
Denti-Cal
Payer ID
94146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is completed with EDI Enrollment.
Denti-Cal 94146 835
Denver Health and Hospital Authority
Payer ID
84133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health and Hospital Authority 84133 835
Denver Health and Hospital Authority
Payer ID
84133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health and Hospital Authority 84133 835
Denver Health Medical Plan
Payer ID
84135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health Medical Plan 84135 835
Denver Health Medical Plan
Payer ID
84135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Denver Health Medical Plan 84135 835
Department of Corrections - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Corrections - Oklahoma 71065 835
Department of Corrections - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Corrections - Oklahoma 71065 835
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Department of Social and Health Services (DSHS) MC006 835
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Department of Social and Health Services (DSHS) MC006 835
Department Rehabilitative Services - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department Rehabilitative Services - Oklahoma 71065 835
Department Rehabilitative Services - Oklahoma
Payer ID
71065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department Rehabilitative Services - Oklahoma 71065 835
Deseret Mutual Benefit Administrators
Payer ID
SX105
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.
Deseret Mutual Benefit Administrators SX105 835
Deseret Mutual Benefit Administrators
Payer ID
SX105
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.
Deseret Mutual Benefit Administrators SX105 835
Devoted Health
Payer ID
DEVOT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Devoted Health DEVOT 835
Devoted Health
Payer ID
DEVOT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Devoted Health DEVOT 835
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN - Preferred IPA Hospital Risk DHM02 835
DHMN - Preferred IPA Hospital Risk
Payer ID
DHM02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN - Preferred IPA Hospital Risk DHM02 835
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN Santa Cruz DHM01 835
DHMN Santa Cruz
Payer ID
DHM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Automatic ERA enrollment upon electronic claim submission
DHMN Santa Cruz DHM01 835
Diamond Bar Medical Group
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diamond Bar Medical Group NMM01 835
Diamond Bar Medical Group
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diamond Bar Medical Group NMM01 835
Dignity Health - Mercy Medical Group / Woodland Clinic
Payer ID
PROH1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dignity Health - Mercy Medical Group / Woodland Clinic PROH1 835
Director's Guild of America - Producer Health Plans
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
Director's Guild of America - Producer Health Plans BC001 835
Director's Guild of America - Producer Health Plans
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
Director's Guild of America - Producer Health Plans BC001 835
Diversified Administration Corporation
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Administration Corporation 06102 835
Diversified Administration Corporation
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Administration Corporation 06102 835
Diversified Group Brokerage
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Group Brokerage 06102 835
Diversified Group Brokerage
Payer ID
06102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Diversified Group Brokerage 06102 835
DMERC Region A Medicare
Payer ID
16003
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. 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.
DMERC Region A Medicare 16003 835
DMERC Region A Medicare
Payer ID
16003
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. 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.
DMERC Region A Medicare 16003 835
DMERC Region B Medicare
Payer ID
17003
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. 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.
DMERC Region B Medicare 17003 835
DMERC Region B Medicare
Payer ID
17003
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. 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.
DMERC Region B Medicare 17003 835
DMERC Region C Medicare
Payer ID
00885
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. 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.
DMERC Region C Medicare 00885 835
DMERC Region C Medicare
Payer ID
00885
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. 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.
DMERC Region C Medicare 00885 835
DMERC Region D Medicare
Payer ID
05655
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. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.
DMERC Region D Medicare 05655 835
DMERC Region D Medicare
Payer ID
05655
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. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.
DMERC Region D Medicare 05655 835
Doctors Healthcare Plans
Payer ID
DRHCP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Doctors Healthcare Plans DRHCP 835
Doctors Healthcare Plans
Payer ID
DRHCP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Doctors Healthcare Plans DRHCP 835
Downey Select IPA
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Please use the enrollment form located under Optum Care Network.
Downey Select IPA APP01 835
Downey Select IPA
Payer ID
APP01
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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Please use the enrollment form located under Optum Care Network.
Downey Select IPA APP01 835
Driscoll Childrens Health Plan
Payer ID
74284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Driscoll Childrens Health Plan 74284 835
Driscoll Childrens Health Plan
Payer ID
74284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Driscoll Childrens Health Plan 74284 835
Dupage Medical Group
Payer ID
DMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dupage Medical Group DMG01 835
Dupage Medical Group
Payer ID
DMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Dupage Medical Group DMG01 835
East Bay Drainage Drivers Security Fund
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Bay Drainage Drivers Security Fund DHS01 835
East Bay Drainage Drivers Security Fund
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Bay Drainage Drivers Security Fund DHS01 835
East Boston Neighborhood Pace
Payer ID
25849
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Boston Neighborhood Pace 25849 835
East Boston Neighborhood Pace
Payer ID
25849
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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East Boston Neighborhood Pace 25849 835
Easy Choice Health Plan of California (Wellcare of California)
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment instructions can be found under WellCare Health Plan
Easy Choice Health Plan of California (Wellcare of California) 14163 835
Easy Choice Health Plan of California (Wellcare of California)
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA enrollment instructions can be found under WellCare Health Plan
Easy Choice Health Plan of California (Wellcare of California) 14163 835
Ebix Health Administration Exchange (EHAE)
Payer ID
55069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Ebix Health Administration Exchange (EHAE) 55069 835
Edenbridge PACE of West Baltimore
Payer ID
R3491
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Edenbridge PACE of West Baltimore R3491 835
Edenbridge PACE of West Baltimore
Payer ID
R3491
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Edenbridge PACE of West Baltimore R3491 835
Edinger Medical Group
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".
Edinger Medical Group GNPMG 835
Edinger Medical Group
Payer ID
GNPMG
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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The ERA enrollment form will be listed under "MemorialCare".
Edinger Medical Group GNPMG 835
El Camino Health Alliance
Payer ID
ECL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Camino Health Alliance ECL01 835
El Camino Health Alliance
Payer ID
ECL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Camino Health Alliance ECL01 835
El Camino Health Medical Network
Payer ID
S9637
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2019 Previously known as San Jose Medical Group. Enrollment completed under Silicon Valley Medical Development.
El Camino Health Medical Network S9637 835
El Camino Health Medical Network
Payer ID
S9637
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2019 Previously known as San Jose Medical Group. Enrollment completed under Silicon Valley Medical Development.
El Camino Health Medical Network S9637 835
El Paso First - CHIP
Payer ID
EPF03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First - CHIP EPF03 835
El Paso First - CHIP
Payer ID
EPF03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First - CHIP EPF03 835
El Paso First Health Plans Premier Plan STAR Medicaid HMO
Payer ID
EPF02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First Health Plans Premier Plan STAR Medicaid HMO EPF02 835
El Paso First Health Plans Premier Plan STAR Medicaid HMO
Payer ID
EPF02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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El Paso First Health Plans Premier Plan STAR Medicaid HMO EPF02 835
ElderPlan, Inc.
Payer ID
31625
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.
ElderPlan, Inc. 31625 835
ElderPlan, Inc.
Payer ID
31625
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.
ElderPlan, Inc. 31625 835
Elderwood Health
Payer ID
03964
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderwood Health 03964 835
Elderwood Health
Payer ID
03964
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Elderwood Health 03964 835
Elips Life Insurance Company Medicare Supplement
Payer ID
96801
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.
Elips Life Insurance Company Medicare Supplement 96801 835
Elips Life Insurance Company Medicare Supplement
Payer ID
96801
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.
Elips Life Insurance Company Medicare Supplement 96801 835
EMHS Employee Health Plan
Payer ID
16565
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EMHS Employee Health Plan 16565 835
EMHS Employee Health Plan
Payer ID
16565
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EMHS Employee Health Plan 16565 835
EMI Health
Payer ID
SX110
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.
EMI Health SX110 835
EMI Health
Payer ID
SX110
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.
