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
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through fee applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 835
Medicaid Vermont
Payer ID
MCDVT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Vermont MCDVT 835
Medicaid Virginia
Payer ID
MCDVA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Virginia MCDVA 835
Medicaid Washington
Payer ID
MC006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Washington MC006 835
Medicaid Washington DC
Payer ID
77033
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Washington DC 77033 835
Medicaid West Virginia
Payer ID
MCDWV
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid West Virginia MCDWV 835
Medicaid Wisconsin
Payer ID
MCDWI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Wisconsin MCDWI 835
Medicaid Wyoming
Payer ID
77046
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Wyoming 77046 835
Medical Benefits Administrators, Inc.
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"
Medical Benefits Administrators, Inc. 74323 835
Medical Benefits Companies
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"
Medical Benefits Companies 74323 835
Medical Benefits Mutual
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Benefits Mutual 74323 835
Medical Benefits Mutual Life Insurance Co.
Payer ID
74323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Benefits Mutual Life Insurance Co. 74323 835
Medical Card System (MCS)
Payer ID
L0170
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Card System (MCS) L0170 835
Medical Mutual of Ohio
Payer ID
29076
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medical Mutual of Ohio 29076 835
Medicare Alabama
Payer ID
10102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Alabama 10102 835
Medicare Alaska
Payer ID
MR010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Alaska MR010 835
Medicare Arizona
Payer ID
MR008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Arizona MR008 835
Medicare Arkansas
Payer ID
MR086
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Arkansas MR086 835
Medicare California (North)
Payer ID
MR001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare California (North) MR001 835
Medicare California (South)
Payer ID
MR002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare California (South) MR002 835
Medicare Colorado
Payer ID
MR004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Colorado MR004 835
Medicare Connecticut
Payer ID
13102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Connecticut 13102 835
Medicare Delaware
Payer ID
00902
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Delaware 00902 835
Medicare District of Columbia
Payer ID
00903
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare District of Columbia 00903 835
Medicare Florida
Payer ID
MR025
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Florida MR025 835
Medicare Georgia
Payer ID
10202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Georgia 10202 835
Medicare Hawaii
Payer ID
MR057
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Hawaii MR057 835
Medicare Idaho
Payer ID
MR003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Idaho MR003 835
Medicare Illinois
Payer ID
MCRIL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Illinois MCRIL 835
Medicare Indiana
Payer ID
MR089
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Indiana MR089 835
Medicare Iowa
Payer ID
05102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Iowa 05102 835
Medicare J04911
Payer ID
04911
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI enrollment form under Payer Enrollment Forms - All or Multiple States
Medicare J04911 04911 835
Medicare J12901 - WPS Legacy Part A
Payer ID
12901
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare J12901 - WPS Legacy Part A 12901 835
Medicare Kansas
Payer ID
05202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Kansas 05202 835
Medicare Kansas City
Payer ID
05302
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Kansas City 05302 835
Medicare Kentucky
Payer ID
15102
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Kentucky 15102 835
Medicare Louisiana
Payer ID
07202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Louisiana 07202 835
Medicare Maine
Payer ID
14112
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Maine 14112 835
Medicare Maryland
Payer ID
00901
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Maryland 00901 835
Medicare Massachusetts
Payer ID
14212
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Medicare Pennsylvania 12502 835
Medicare Puerto Rico
Payer ID
09202
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicare Puerto Rico 09202 835
Medicare Railroad
Payer ID
MR018
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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Medicare Wyoming MR074 835
Medicare – HHH J11 (Palmetto)
Payer ID
11001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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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
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ERA enrollment under Conifer Health Solutions.
Medicina Familiar Medical Group CAPMN 835
Medico Insurance
Payer ID
23160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medico Insurance 23160 835
MedMutual Protect Medicare Supplement
Payer ID
96554
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.
MedMutual Protect Medicare Supplement 96554 835
MedSolutions, Inc
Payer ID
62160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedSolutions, Inc 62160 835
MedStar Family Choice DC
Payer ID
RP062
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedStar Family Choice DC RP062 835
MedStar Family Choice MD
Payer ID
RP063
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedStar Family Choice MD RP063 835
MedStar Family Choice of DC
Payer ID
39190
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MedStar Family Choice of DC 39190 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
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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
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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
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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
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Memorial Medical Center - Non Sutter SC054 835
MemorialCare Independent Physicians (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under "MemorialCare".
MemorialCare Independent Physicians (formerly known as Greater Newport Physicians) GNPMG 835
MemorialCare Medical Foundation
Payer ID
MMFMC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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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
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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
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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
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(formerly known Seaside Health Plan). The ERA enrollment form will be listed under "MemorialCare".
