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
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.
LifeWorks Advantage (ISNP plan) LWA01 835
Line Construction Benefit Fund
Payer ID
LCB01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Line Construction Benefit Fund LCB01 835
Live Well IPA
Payer ID
LWIPA
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 payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Live Well IPA LWIPA 835
Longevity CO
Payer ID
LCO01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity CO LCO01 835
Longevity FL
Payer ID
LFL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity FL LFL01 835
Longevity IL
Payer ID
LIL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity IL LIL01 835
Longevity MI
Payer ID
LMI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity MI LMI01 835
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 NY
Payer ID
LNY01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Longevity NY LNY01 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.
ERA can be found under "Premier HealthCare Exchange (PHX) - Cypress Benefit Admin"
LUCENT HEALTH 88056 835
Lumico Life Insurance Co Medicare Supplement
Payer ID
96364
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.
Lumico Life Insurance Co Medicare Supplement 96364 835
Luminare Health AZ, IL, IN, MD, MN, NC, PA
Payer ID
35182
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Core Source
Luminare Health AZ, IL, IN, MD, MN, NC, PA 35182 835
Luminare Health Detroit
Payer ID
38225
Payer ID
Transaction
All
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 Detroit 38225 835
Luminare Health Internal
Payer ID
35187
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Coresource - Internal
Luminare Health Internal 35187 835
Luminare Health KC
Payer ID
48117
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly CoreSource KC (FMH)
Luminare Health KC 48117 835
Luminare Health Little Rock
Payer ID
75136
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Coresource Little Rock
Luminare Health Little Rock 75136 835
Luminare Health Ohio
Payer ID
35183
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly CoreSource - Ohio
Luminare Health Ohio 35183 835
Lutheran Services Carolinas
Payer ID
LSC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Lutheran Services Carolinas LSC01 835
Mabuhay 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.
Mabuhay Medical Group CAPMN 835
MacNeal Health Providers - CHS
Payer ID
36334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MacNeal Health Providers - CHS 36334 835
Maestro Health
Payer ID
56139
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maestro Health 56139 835
Magellan Behavioral Health - Case Rate
Payer ID
01260
Payer ID
Transaction
All
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 - Case Rate 01260 835
Magellan Behavioral Health Services
Payer ID
01260
Payer ID
Transaction
All
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 01260 835
Magellan Behavioral Health Services (Medicaid NE)
Payer ID
01260
Payer ID
Transaction
All
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) 01260 835
Magellan Behavioral Health Services (Medicaid VA)
Payer ID
01260
Payer ID
Transaction
All
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) 01260 835
Magellan HIA-CA
Payer ID
01260
Payer ID
Transaction
All
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 01260 835
MagnaCare
Payer ID
11303
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MagnaCare 11303 835
Magnolia Health Plan (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.
Magnolia Health Plan (Centene) 68069 835
Maine Community Health Options
Payer ID
45341
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maine Community Health Options 45341 835
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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Managed Care Systems MCS03 835
Managed Health Network (MHN)
Payer ID
22771
Payer ID
Transaction
All
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 Network (MHN) 22771 835
Managed Health Services Indiana (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.
Managed Health Services Indiana (Centene) 68069 835
Managed Health Services Wisconsin (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.
Managed Health Services Wisconsin (Centene) 68069 835
Marrick Medical Finance, LLC
Payer ID
20805
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Marrick Medical Finance, LLC 20805 835
Martins Point Health Care
Payer ID
MPHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Martins Point Health Care MPHC1 835
Martins Point US Family Health Plan
Payer ID
MPHC1
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 Martins Point Health Care
Martins Point US Family Health Plan MPHC1 835
Maryland Physicians Care (MPC)
Payer ID
76498
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maryland Physicians Care (MPC) 76498 835
Maryland Public Behavioral Health System
Payer ID
BHOMD
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment is completed under 'Carelon Behavioral Health'
Maryland Public Behavioral Health System BHOMD 835
Maryland’s Medicaid Public Behavioral Health System
Payer ID
OMDBH
Payer ID
Transaction
All
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.
Maryland’s Medicaid Public Behavioral Health System OMDBH 835
Mashantucket Pequot Tribal Nation
Payer ID
37121
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mashantucket Pequot Tribal Nation 37121 835
Masonry Industry Trust
Payer ID
60230
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Masonry Industry Trust 60230 835
Masonry Welfare Trust Fund
Payer ID
60230
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Masonry Welfare Trust Fund 60230 835
Mass General Brigham Health Plan
Payer ID
04293
Payer ID
Transaction
All
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
Mass General Brigham Health Plan 04293 835
Maverick Medical Group
Payer ID
PROSP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Maverick Medical Group PROSP 835
MCA Administrators, Inc.
Payer ID
25160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MCA Administrators, Inc. 25160 835
McLaren Health Plan (MHP) Commercial
Payer ID
38338
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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McLaren Health Plan (MHP) Commercial 38338 835
MD Senior Care Medical Group
Payer ID
MSCMG
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 payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
MD Senior Care Medical Group MSCMG 835
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 835
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
Payer ID
Transaction
All
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)) 3519M 835
MDX Hawaii
Payer ID
CAPMN
Payer ID
Transaction
All
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.
MDX Hawaii CAPMN 835
MedBen
Payer ID
74323
Payer ID
Transaction
All
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"
MedBen 74323 835
Medcare Partners - Physician Partners IPA
Payer ID
MCPPP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
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.
Connectivity for Medicaid District of Columbia is expected to be restored on March 17, 2026. Complete your ERA Enrollment before March 17, 2026 to continue receiving electronic remittance advices.
Medicaid District of Columbia 77033 835
Medicaid Florida
Payer ID
77027
Payer ID
Transaction
All
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 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.
