All Available Payers with Office Ally Payer List

Remits (835)
All
Claims
(837P, 837I, 837D)
Remits
(835)
Eligibility and Benefits
(270/271)
Claim Status
(276/277)
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Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Los Angeles Medical Center LAMC
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Los Angeles Medical Center LAMC Encounters
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Louisiana Healthcare Connections (Centene)
Payer ID
68069
Payer ID
Transaction
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.
Loyal American Life Medicare Supp
Payer ID
13193
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LUCENT HEALTH
Payer ID
88056
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA can be found under "Premier HealthCare Exchange (PHX) - Cypress Benefit Admin"
Lumico Life Insurance Co Medicare Supplement
Payer ID
96364
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Luminare Health AZ, IL, IN, MD, MN, NC, PA
Payer ID
35182
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Core Source
Luminare Health Detroit
Payer ID
38225
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment instructions listed under NGS American.
Luminare Health Internal
Payer ID
35187
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Coresource - Internal
Luminare Health KC
Payer ID
48117
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly CoreSource KC (FMH)
Luminare Health Little Rock
Payer ID
75136
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Coresource Little Rock
Luminare Health Ohio
Payer ID
35183
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly CoreSource - Ohio
Mabuhay Medical Group
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
MacNeal Health Providers - CHS
Payer ID
36334
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Magellan Behavioral Health - Case Rate
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid NE)
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid VA)
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan HIA-CA
Payer ID
01260
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
MagnaCare
Payer ID
11303
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Magnolia Health Plan (Centene)
Payer ID
68069
Payer ID
Transaction
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.
Maine Community Health Options
Payer ID
45341
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Managed Care Systems
Payer ID
MCS03
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Managed Health Network (MHN)
Payer ID
22771
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Providers must enroll for "Health Net CA and OR" (Payer ID 95567) in order to receive ERAs for MHN
Managed Health Services Indiana (Centene)
Payer ID
68069
Payer ID
Transaction
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.
Managed Health Services Wisconsin (Centene)
Payer ID
68069
Payer ID
Transaction
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.
Marrick Medical Finance, LLC
Payer ID
20805
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Martins Point Health Care
Payer ID
MPHC1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Martins Point US Family Health Plan
Payer ID
MPHC1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Martins Point Health Care
Maryland Physicians Care (MPC)
Payer ID
76498
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland Public Behavioral Health System
Payer ID
BHOMD
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under 'Carelon Behavioral Health'
Maryland’s Medicaid Public Behavioral Health System
Payer ID
OMDBH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Mashantucket Pequot Tribal Nation
Payer ID
37121
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Masonry Industry Trust
Payer ID
60230
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Masonry Welfare Trust Fund
Payer ID
60230
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mass General Brigham Health Plan
Payer ID
04293
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Neighborhood Health Plan/Allways Health Plan
Maverick Medical Group
Payer ID
PROSP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MCA Administrators, Inc.
Payer ID
25160
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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McLaren Health Plan (MHP) Commercial
Payer ID
38338
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MD Senior Care Medical Group
Payer ID
MSCMG
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MDX Hawaii
Payer ID
CAPMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Same as payer ID MDXHI. ERA Enrollment under Conifer Health Solutions.
MedBen
Payer ID
74323
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment form is under the name "Medical Benefits Mutual"
Medcare Partners - Physician Partners IPA
Payer ID
MCPPP
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
MedCost, Inc.
Payer ID
56162
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medi-Cal (California Medicaid)
Payer ID
MC051
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medi-Cal Dental
Payer ID
94146
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA Enrollment is completed with EDI Enrollment.
Medica
Payer ID
94265
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medica Government Programs
Payer ID
MEDM1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medica Health Plan Solutions
Payer ID
71890
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medica HealthCare Plan of Florida
Payer ID
78857
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medica Medicare Supplement
Payer ID
96559
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA only payer - IAS Admin Payer.
Medica2
Payer ID
12422
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Alabama
Payer ID
MCDAL
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Alaska
Payer ID
MCDAK
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Arizona
Payer ID
MCDAZ
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Arkansas
Payer ID
MCDAR
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Colorado
Payer ID
77016
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Connecticut
Payer ID
MCDCT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Delaware
Payer ID
MCDDE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid District of Columbia
Payer ID
77033
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Florida
Payer ID
77027
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Office Ally is not accepting New Enrollments at this time for Medicaid Florida.
Medicaid Georgia
Payer ID
77034
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
Medicaid Hawaii
Payer ID
MCDHI
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Idaho
Payer ID
MCDID
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Indiana
Payer ID
MCDIN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa
Payer ID
18049
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa SNMIS
Payer ID
SNMIS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kansas
Payer ID
MCDKS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kentucky
Payer ID
MCDKY
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Louisiana
Payer ID
MCDLA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Louisiana (Ambulance)
Payer ID
AMBLA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI Enrollment Form is the same as Medicaid Louisiana.
Medicaid Louisiana (Durable Medical Equipment)
Payer ID
DMELA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DME (Durable Medical Equipment) Claims Only. EDI enrollment is the same as Medicaid Louisiana.
Medicaid Louisiana Medicare Advantage
Payer ID
MCALA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For EDI enrollment, use the Medicaid Louisiana instructions.
Medicaid Maine
Payer ID
MCDME
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Maryland
Payer ID
MCDMD
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Massachusetts
Payer ID
MCDMA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Michigan
Payer ID
00111
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Minnesota
Payer ID
MCDMN
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Mississippi
Payer ID
77032
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Missouri
Payer ID
MCDMO
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Montana
Payer ID
MCDMT
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Nebraska
Payer ID
MCDNE
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Nevada
Payer ID
MC008
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Hampshire
Payer ID
MCDNH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Jersey
Payer ID
MCDNJ
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New Mexico
Payer ID
NMMAD
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid New York
Payer ID
MCDNY
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Annual re-certification is required.
Medicaid North Carolina
Payer ID
NCXIX
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid North Dakota
Payer ID
MCDND
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Ohio
Payer ID
MCDOH
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Oklahoma
Payer ID
MCDOK
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Oregon
Payer ID
ORDHS
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Pennsylvania
Payer ID
MCDPA
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Rhode Island
Payer ID
MCDRI
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid South Carolina
Payer ID
SCXIX
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid South Dakota
Payer ID
MCDSD
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
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.
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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