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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
NOTES
Medicare Massachusetts
Payer ID
14212
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Medicare Massachusetts 14212 835
Medicare Michigan
Payer ID
08202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare Michigan 08202 835
Medicare Minnesota
Payer ID
06202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Minnesota 06202 835
Medicare Mississippi
Payer ID
07302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Medicare Mississippi 07302 835
Medicare Missouri (East & West)
Payer ID
05302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Medicare Missouri (East & West) 05302 835
Medicare Montana
Payer ID
03202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Medicare Montana 03202 835
Medicare Nebraska
Payer ID
00655
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Medicare Nebraska 00655 835
Medicare Nevada
Payer ID
MR007
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Medicare Nevada MR007 835
Medicare New Hampshire
Payer ID
14312
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare New Hampshire 14312 835
Medicare New Jersey
Payer ID
12402
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare New Jersey 12402 835
Medicare New Mexico
Payer ID
04212
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare New Mexico 04212 835
Medicare New York (Downstate)
Payer ID
13202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Hide note
Medicare New York (Downstate) 13202 835
Medicare New York (Empire)
Payer ID
13202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare New York (Empire) 13202 835
Medicare New York (Queens)
Payer ID
13292
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare New York (Queens) 13292 835
Medicare New York (Upstate)
Payer ID
13282
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare New York (Upstate) 13282 835
Medicare North Carolina
Payer ID
11502
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare North Carolina 11502 835
Medicare North Dakota
Payer ID
MR083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare North Dakota MR083 835
Medicare Northern Virginia
Payer ID
12202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Includes Arlington and Fairfax Counties in Northern Virginia and the city of Alexandria.
Medicare Northern Virginia 12202 835
Medicare Ohio
Payer ID
15202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Ohio 15202 835
Medicare Oklahoma
Payer ID
04312
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare Oklahoma 04312 835
Medicare Oregon
Payer ID
MR011
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Oregon MR011 835
Medicare Pennsylvania
Payer ID
12502
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Pennsylvania 12502 835
Medicare Railroad
Payer ID
MR018
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Hide note
EDI enrollment form listed under Payer Enrollment Forms - All or Multiple States. ERA activation can be found within the EDI enrollment form.
Medicare Railroad MR018 835
Medicare Rhode Island
Payer ID
14412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Hide note
Medicare Rhode Island 14412 835
Medicare South Carolina
Payer ID
11001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare South Carolina 11001 835
Medicare South Carolina
Payer ID
11202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare South Carolina 11202 835
Medicare South Dakota
Payer ID
MR084
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare South Dakota MR084 835
Medicare Tennessee
Payer ID
10301
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Tennessee 10301 835
Medicare Tennessee
Payer ID
MR034
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Tennessee MR034 835
Medicare Texas
Payer ID
MR085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Texas MR085 835
Medicare Utah
Payer ID
MR046
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Utah MR046 835
Medicare Vermont
Payer ID
14512
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Vermont 14512 835
Medicare Virgin Islands
Payer ID
09302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Virgin Islands 09302 835
Medicare Virginia (Palmetto)
Payer ID
11302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Includes all cities/counties except Alexandria, Arlington & Fairfax.
Medicare Virginia (Palmetto) 11302 835
Medicare Washington
Payer ID
MR006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Washington MR006 835
Medicare Washington DC
Payer ID
00903
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Washington DC 00903 835
Medicare West Virginia
Payer ID
11402
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare West Virginia 11402 835
Medicare Wisconsin
Payer ID
06302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Wisconsin 06302 835
Medicare Wyoming
Payer ID
MR074
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medicare Wyoming MR074 835
Medicare and Much More Florida
Payer ID
MMMFL
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.
Medicare and Much More Florida MMMFL 835
Medicare – HHH J11 (Palmetto)
Payer ID
11001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J11 (Palmetto) 11001 835
Medicare – HHH J15 (CGS)
Payer ID
15004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
Medicare – HHH J15 (CGS) 15004 835
Medicina Familiar Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Medicina Familiar Medical Group CAPMN 835
Medigold
Payer ID
95655
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Medigold 95655 835
Memorial Hermann Health Network (MHHN)
Payer ID
MHHNP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Memorial Hermann Health Network (MHHN) MHHNP 835
Memorial Integrated Healthcare (Commercial)
Payer ID
59064
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Commercial) 59064 835
Memorial Integrated Healthcare (Medicaid)
Payer ID
59065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Now known as Community Care Plan (CCP).
Memorial Integrated Healthcare (Medicaid) 59065 835
Memorial Medical Center - Non Sutter
Payer ID
SC054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Memorial Medical Center - Non Sutter SC054 835
MemorialCare Medical Foundation
Payer ID
MMFMC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation MMFMC 835
MemorialCare Medical Foundation Cap Services
Payer ID
MMFCS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation Cap Services MMFCS 835
MemorialCare Medical Foundation UCI
Payer ID
MMFUC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Medical Foundation UCI MMFUC 835
MemorialCare Select Health Plan
Payer ID
46187
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
(formerly known Seaside Health Plan). The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Select Health Plan 46187 835
Mercy Care Plan (AHCCCS)
Payer ID
86052
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Mercy Care Plan (AHCCCS) 86052 835
Mercy Care RBHA
Payer ID
33628
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Mercy Care RBHA 33628 835
Mercy Physicians Medical Group (MPMG)
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Mercy Physicians Medical Group (MPMG) IP079 835
Meridian Health Plan Illinois Complete
Payer ID
MHPIL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Meridian Health Plan Illinois Complete MHPIL 835
Meridian Health Plan Michigan Complete
Payer ID
MHPMI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Meridian Health Plan Michigan Complete MHPMI 835
Meridian PACE Solutions
Payer ID
MPSAB
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Meridian PACE Solutions MPSAB 835
Meritage Medical Network
Payer ID
IP097
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Formerly Marin Sonoma IPA. Payer requires EFT enrollment in order to receive ERA.
Meritage Medical Network IP097 835
Meritain Health
Payer ID
41124
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Formerly known as EV Benefits, Iowa Benefits, NABN, Performax, Risk Benefit, WellNet. Enrollment completed under 'Meritain Health' in ECHO.
Meritain Health 41124 835
Meritain Health
Payer ID
64157
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Formerly known as North American Administrators, Inc. Enrollment completed under 'Meritain Health' in ECHO.
Meritain Health 64157 835
Meritain Health (formerly Weyco, Inc)
Payer ID
38232
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Okemos, Michigan.
Meritain Health (formerly Weyco, Inc) 38232 835
Metro Plus Health Plan
Payer ID
13265
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Metro Plus Health Plan 13265 835
Metropolitan Health Plan (now Hennepin Health)
Payer ID
MHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Metropolitan Health Plan (now Hennepin Health) MHP01 835
Metropolitan IPA d.b.a Community Family Care IPA
Payer ID
NMM05
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 sends 835s automatically. If you are not a contracted provider with NMM, please contact their provider relations to get set up. providerrelationsdept@nmm.cc
Metropolitan IPA d.b.a Community Family Care IPA NMM05 835
Michigan Fidelis Secure Care (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Michigan Fidelis Secure Care (Centene) 68069 835
Michigan Medicaid BCCCNP
Payer ID
BCCCP
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.
Michigan Medicaid BCCCNP BCCCP 835
Mid Cities IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
ERA enrollment under Conifer Health Solutions.
Mid Cities IPA CAPMN 835
Mid-America Associates Inc.
Payer ID
37281
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Mid-America Associates Inc. 37281 835
Midwest Group Benefits
Payer ID
61146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Midwest Group Benefits 61146 835
Minnesota Counties Ins Trust (MCIT)
Payer ID
J1351
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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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Minnesota Counties Ins Trust (MCIT) J1351 835
Minnesota Department of Health
Payer ID
MNDH1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Minnesota Department of Health MNDH1 835
Minnesota Department of Labor
Payer ID
J1436
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Minnesota Department of Labor J1436 835
Minnesota Health Care Program
Payer ID
MCDMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Use the Medicaid Minnesota Enrollment Form.
Minnesota Health Care Program MCDMN 835
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
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 ERA automatically.
Mississippi Department Of Corrections - CORVEL J3328 835
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
Payer ID
37233
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Mississippi Public Entity Employee Benefit Trust (MPEEBT) 37233 835
Mississippi Select Health Care
Payer ID
64088
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Gulfport, MS.
Mississippi Select Health Care 64088 835
Missouri Medicare Select
Payer ID
MMS01
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 ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 835
Mobilitas Insurance Company
Payer ID
J4092
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 ERA automatically - no enrollment required.
Mobilitas Insurance Company J4092 835
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Moda Health (Formerly ODS Health Plan) 13350 835
Molina Complete Care of Virginia
Payer ID
MCC02
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Enrollment completed under 'Molina Healthcare'
Molina Complete Care of Virginia MCC02 835
Molina Healthcare of Arizona
Payer ID
MCC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Arizona MCC01 835
Molina Healthcare of California
Payer ID
38333
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of California 38333 835
Molina Healthcare of Florida
Payer ID
51062
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Florida 51062 835
Molina Healthcare of Idaho
Payer ID
61799
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Idaho 61799 835
Molina Healthcare of Illinois
Payer ID
20934
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Illinois 20934 835
Molina Healthcare of Iowa
Payer ID
MLNIA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Iowa MLNIA 835
Molina Healthcare of Michigan
Payer ID
38334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Michigan 38334 835
Molina Healthcare of Mississippi
Payer ID
77010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Mississippi 77010 835
Molina Healthcare of Nebraska
Payer ID
MLNNE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nebraska MLNNE 835
Molina Healthcare of Nevada
Payer ID
MLNNV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Nevada MLNNV 835
Molina Healthcare of New Mexico
Payer ID
04423
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Healthcare of New Mexico 04423 835
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Healthcare of New Mexico NM505 835
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Healthcare of New Mexico - Salud 09824 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Former Payer ID TCARE Enrollment completed under 'Molina Healthcare'
Molina Healthcare of New York (formerly Total Care) 16146 835
Molina Healthcare of Ohio
Payer ID
20149
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Ohio 20149 835
Molina Healthcare of Puerto Rico
Payer ID
81794
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Healthcare of Puerto Rico 81794 835
Molina Healthcare of South Carolina
Payer ID
46299
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of South Carolina 46299 835
Molina Healthcare of Texas
Payer ID
20554
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Texas 20554 835
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Utah (aka American Family Care) SX109 835