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
Humana Gold Plus
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Humana Gold Plus 61101 835
Humana Healthy Horizons Oklahoma
Payer ID
61101
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 Humana.
Humana Healthy Horizons Oklahoma 61101 835
Humana Ohio Medicaid
Payer ID
61103
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.
Humana Ohio Medicaid 61103 835
Huntington Park Mission 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.
Huntington Park Mission Medical Group CAPMN 835
I. E. Shaffer
Payer ID
22175
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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West Trenton, New Jersey.
I. E. Shaffer 22175 835
IBC Personal Choice
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IBC Personal Choice 54704 835
IBEW Local 6 - San Francisco Electrical Workers
Payer ID
BS001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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They will have a prefix code of "XEL" as their member ID on the BSC card.
IBEW Local 6 - San Francisco Electrical Workers BS001 835
iCARE (Independent Care Health Plan)
Payer ID
11695
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 835
ICare Health Options
Payer ID
26054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ICare Health Options 26054 835
iCircle of New York
Payer ID
ICRCL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer will send 835 after submission.
iCircle of New York ICRCL 835
IL Youthcare (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 forms will be listed under Centene Corporation
IL Youthcare (Centene) 68069 835
Illinois Health Plans (IHP)
Payer ID
DMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under Dupage Medical Group
Illinois Health Plans (IHP) DMG01 835
Imagine360 Administrators (GPA)
Payer ID
48143
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.
Imagine360 Administrators (GPA) 48143 835
IMCare
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IMCare 41600 835
Imperial Health Holdings Medical Group
Payer ID
IHHMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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enrollment required
Imperial Health Holdings Medical Group IHHMG 835
In Physicians Associates
Payer ID
INP12
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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In Physicians Associates INP12 835
INDECS Corporation
Payer ID
40585
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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INDECS Corporation 40585 835
Independence Administrators
Payer ID
54763
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Administrators 54763 835
Independence Blue Cross
Payer ID
54704
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independence Blue Cross 54704 835
Independent Health
Payer ID
95308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Independent Health 95308 835
Indian Health Services / Veteran Affairs
Payer ID
MR085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indian Health Services / Veteran Affairs MR085 835
Indiana University (IU) Health Plan – Commercial/Marketplace
Payer ID
IUHPL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Commercial/Marketplace IUHPL 835
Indiana University (IU) Health Plan – Medicare Advantage
Payer ID
95444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indiana University (IU) Health Plan – Medicare Advantage 95444 835
Individual Health Insurance Companies
Payer ID
31059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric. For WC claims and claims with attachments use Payer ID J1548.
ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through fee applies to this transaction.
Individual Health Insurance Companies 31059 835
Inland Empire Health Plan
Payer ID
IEHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IEHP requests that all submitter's send their Taxonomy Codes.
Inland Empire Health Plan IEHP1 835
Inland Empire health Plan (Covered California)
Payer ID
IECCA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment is completed under Inland Empire Health Plan (IEHP1)
Inland Empire health Plan (Covered California) IECCA 835
InnovAge
Payer ID
31182
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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InnovAge 31182 835
Innovative Integrated Health, Inc.
Payer ID
IIHPO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically. No enrollment required.
Innovative Integrated Health, Inc. IIHPO 835
Insurance Administrator of America, Inc. (IAA)
Payer ID
37279
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Administrator of America, Inc. (IAA) 37279 835
Insurance Benefit System Administrators
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Benefit System Administrators 07689 835
Insurance Company of North America
Payer ID
95722
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Company of North America 95722 835
Insurance Design Administrators - 13315
Payer ID
13315
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Design Administrators - 13315 13315 835
Insurance Management Services
Payer ID
IMSMS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Management Services IMSMS 835
Insurance Systems
Payer ID
11889
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Insurance Systems 11889 835
Integra Administrative Group
Payer ID
51020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Seaford, Deleware.
Integra Administrative Group 51020 835
IntegraNet
Payer ID
INET1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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IntegraNet INET1 835
IntegraNet SCAN
Payer ID
ISCN1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
IntegraNet SCAN ISCN1 835
Interactive Medical Systems
Payer ID
56132
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Interactive Medical Systems 56132 835
InterCommunity Health CCO (IHN)
Payer ID
SAMHP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remittance Advice. Previously Payer ID CP001.
InterCommunity Health CCO (IHN) SAMHP 835
Intercommunity Health Net
Payer ID
SAMHP
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.
Intercommunity Health Net SAMHP 835
Intermountain Health
Payer ID
20501
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment found under "HealthCare Partners of Nevada"
Intermountain Health 20501 835
International Benefit Administrator
Payer ID
11329
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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International Benefit Administrator 11329 835
Iowa Health Advantage
Payer ID
RP075
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Iowa Health Advantage RP075 835
Iowa Total 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.
Iowa Total Care (Centene) 68069 835
Itasca Medical Center
Payer ID
41600
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Itasca Medical Center 41600 835
JADE Health Care Medical Group
Payer ID
NMM07
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 9/1/2022 Please contact ProviderRelationsDept@networkmedicalmanagement.com for ERA enrollment requests.
JADE Health Care Medical Group NMM07 835
Jai Medical Systems
Payer ID
JAI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Jai Medical Systems JAI01 835
John Muir Physician Network
Payer ID
JMH01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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If you have never submitted claims to John Muir before, please fax your W-9 with contact name and # to Patty Kan 925-941-2026.
John Muir Physician Network JMH01 835
Johns Hopkins Healthcare
Payer ID
52189
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare 52189 835
Johns Hopkins Healthcare (USFHP)
Payer ID
52123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Johns Hopkins Healthcare (USFHP) 52123 835
JUDI Health
Payer ID
JUDIH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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JUDI Health JUDIH 835
Kaiser Foundation Health Plan of Colorado
Payer ID
91617
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Colorado 91617 835
Kaiser Foundation Health Plan of Georgia
Payer ID
21313
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Georgia 21313 835
Kaiser Foundation Health Plan of Northern CA Region
Payer ID
94135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Northern CA Region 94135 835
Kaiser Foundation Health Plan of Southern CA Region
Payer ID
94134
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Southern CA Region 94134 835
Kaiser Foundation Health Plan of the Mid-Atlantic States
Payer ID
52095
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland, Virginia and District of Columbia.
Kaiser Foundation Health Plan of the Mid-Atlantic States 52095 835
Kaiser Foundation Health Plan of the Northwest
Payer ID
NW002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as Payer ID 93079.
Kaiser Foundation Health Plan of the Northwest NW002 835
Kaiser Foundation Health Plan of Washington
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Foundation Health Plan of Washington 91051 835
Kaiser Permanente Health Plan of Hawaii
Payer ID
94123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaiser Permanente Health Plan of Hawaii 94123 835
Kalos Health
Payer ID
40137
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kalos Health 40137 835
Kansas Health Advantage
Payer ID
71066
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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aka Kansas Superior Select
Kansas Health Advantage 71066 835
Kaweah Delta Medicare Advantage
Payer ID
IP084
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kaweah Delta Medicare Advantage IP084 835
Keenan & Associates
Payer ID
KEE01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed through Zelis
Keenan & Associates KEE01 835
Kelsey Seybold
Payer ID
KELSE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kelsey Seybold KELSE 835
Kempton Company
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Company 73100 835
Kempton Group Administrators
Payer ID
73100
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kempton Group Administrators 73100 835
Kentucky Spirit 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 will be listed under Centene Corporation.
Kentucky Spirit Health (Centene) 68069 835
Kern Health Systems
Payer ID
77039
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kern Health Systems 77039 835
Key Benefit Administrators
Payer ID
37217
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Indianapolis, Indiana.
Key Benefit Administrators 37217 835
Key Medical Group
Payer ID
IP082
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Key Medical Group IP082 835
Key Medical Group - Medicare Advantage
Payer ID
IP083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Key Medical Group - Medicare Advantage IP083 835
Keystone First Community Health Choices
Payer ID
42344
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone First Community Health Choices 42344 835
Keystone First VIP Choice
Payer ID
77741
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone First VIP Choice 77741 835
Keystone Health Plan East (KHP)
Payer ID
95056
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Health Plan East (KHP) 95056 835
Keystone Mercy Health Plan
Payer ID
23284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Mercy Health Plan 23284 835
Keystone West (Highmark)
Payer ID
54771
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone West (Highmark) 54771 835
Kova Healthcare, Inc.
Payer ID
KOVA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kova Healthcare, Inc. KOVA1 835
KPIC Self-Funded Claims Administrator
Payer ID
94320
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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KPIC Self-Funded Claims Administrator 94320 835
KPS Healthplans
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly under Payer ID KPS01. For DOS prior to 1/1/16, claims should be mailed to KPS - P.O. Box 34803, Seattle, WA 98124. For DOS on or after 1/1/16, submit the claim to Kaiser WA/Group Health (91051). Provider Assistance Unit: (888) 767-4670. ERA Assistance Unit: (877) 833-6821.
KPS Healthplans 91051 835
Krasdale Foods
Payer ID
J4060
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 enrollment needed.
Krasdale Foods J4060 835
KSKJ Life Medicare Supplement
Payer ID
95791
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.
KSKJ Life Medicare Supplement 95791 835
LA Care Health Plan
Payer ID
LACAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LA Care Health Plan LACAR 835
LADOC CorrectCare
Payer ID
LADOC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LADOC CorrectCare LADOC 835
Lakewood 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.
Lakewood IPA CAPMN 835
Landmark
Payer ID
LNDMK
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ONLY Clients of ChiroCare of MN practicing in MN, WI, ND, SD, NE or IA can get electronic remits at this time.
Landmark LNDMK 835
LaSalle Medical Associates
Payer ID
LSMA2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LaSalle Medical Associates LSMA2 835
LBA Health Plans
Payer ID
52193
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LBA Health Plans 52193 835
Leon Health Plans
Payer ID
A3565
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Leon Health Plans A3565 835
LifeWise Healthplan of Oregon (Premera)
Payer ID
93093
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Oregon (Premera) 93093 835
LifeWise Healthplan of Washington (Premera)
Payer ID
00430
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Washington (Premera) 00430 835
LifeWorks Advantage (ISNP plan)
Payer ID
LWA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/17. Payer returns ERA's automatically once electronic claim submission begins. To request paper EOB’s, email helpdesk@claimsnet.com.
