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
Longevity NC
Payer ID
LNC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NC LNC01 835
Longevity NJ
Payer ID
LNJ01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NJ LNJ01 835
Longevity OK
Payer ID
LOK01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity OK LOK01 835
Los Angeles Medical Center LAMC
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Los Angeles Medical Center LAMC PROSP 835
Los Angeles Medical Center LAMC Encounters
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Los Angeles Medical Center LAMC Encounters PROSP 835
Louisiana Healthcare Connections (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.
Office Ally is not accepting New Enrollments at this time for Medicaid Florida.
Medicaid Florida 77027 835
Medicaid Georgia
Payer ID
77034
Payer ID
Transaction
All
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 Georgia 77034 835
Medicaid Hawaii
Payer ID
MCDHI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Hawaii MCDHI 835
Medicaid Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Idaho MCDID 835
Medicaid Indiana
Payer ID
MCDIN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Indiana MCDIN 835
Medicaid Iowa
Payer ID
18049
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa 18049 835
Medicaid Iowa SNMIS
Payer ID
SNMIS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa SNMIS SNMIS 835
Medicaid Kansas
Payer ID
MCDKS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kansas MCDKS 835
Medicaid Kentucky
Payer ID
MCDKY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kentucky MCDKY 835
Medicaid Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Louisiana MCDLA 835
Medicaid Louisiana (Ambulance)
Payer ID
AMBLA
Payer ID
Transaction
All
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 (Ambulance) AMBLA 835
Medicaid Louisiana (Durable Medical Equipment)
Payer ID
DMELA
Payer ID
Transaction
All
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 (Durable Medical Equipment) DMELA 835
Medicaid Louisiana Medicare Advantage
Payer ID
MCALA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For EDI enrollment, use the Medicaid Louisiana instructions.