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
Molina Healthcare of Washington
Payer ID
38336
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 Washington 38336 835
Molina Healthcare of Wisconsin
Payer ID
ABRI1
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 Wisconsin ABRI1 835
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Medicaid Solutions - Idaho MCDID 835
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Molina Medicaid Solutions - Louisiana MCDLA 835
Molina Ohio Medicaid
Payer ID
73160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Hide note
ERA Enrollment should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
Molina Ohio Medicaid 73160 835
Monitor Life Medicare Supplement
Payer ID
98244
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.
Monitor Life Medicare Supplement 98244 835
Motion Picture Industry Health Plan
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Motion Picture Industry Health Plan BC001 835
MotivHealth Insurance Company
Payer ID
U7632
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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A UHIN pass through few applies to this transaction. Payer returns ERAs automatically after claim submission.
MotivHealth Insurance Company U7632 835
Mountain Health CO-OP
Payer ID
MHC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mountain Health CO-OP MHC01 835
Mutual Assurance
Payer ID
37256
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mutual Assurance 37256 835
Mutual Health Services
Payer ID
34192
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly Antares Management Solutions.
Mutual Health Services 34192 835
Mutual of Omaha
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mutual of Omaha 71412 835
Mutually Preferred
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Mutually Preferred 71412 835
My Health Plan
Payer ID
95677
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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My Health Plan 95677 835
MyNexus - Aetna Home Health
Payer ID
34010
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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MyNexus - Aetna Home Health 34010 835
NCA Comp
Payer ID
J4250
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically - no enrollment required.
NCA Comp J4250 835
NCAS - Fairfax, Virginia
Payer ID
75190
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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NCAS - Fairfax, Virginia 75190 835
NGS American
Payer ID
38225
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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NGS American 38225 835
NHC Advantage
Payer ID
NHC01
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.
NHC Advantage NHC01 835
NXT IPA
Payer ID
NXTOA
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
ERAs will be received automatically after claims submission starts.
NXT IPA NXTOA 835
NYC Law Department
Payer ID
J4253
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERA automatically for rejected claims only. No enrollment required.
NYC Law Department J4253 835
National Elevator Industry Benefit Plan
Payer ID
CX045
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hide note
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ERA only payer
National Elevator Industry Benefit Plan CX045 835
National Rural Letter Carrier Assoc.
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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National Rural Letter Carrier Assoc. 71412 835
Nebraska Total 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
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ERA enrollment forms will be listed under Centene Corporation.
Nebraska Total Care (Centene) 68069 835
Neighborhood Health Partnership
Payer ID
95123
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Neighborhood Health Partnership 95123 835
Neighborhood Health Providers & Suffolk Health Plan (NHP - SHP)
Payer ID
80141
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Verify Provider ID prior to submitting claims.
Neighborhood Health Providers & Suffolk Health Plan (NHP - SHP) 80141 835
Network Health Insurance (NHIC) Medicare
Payer ID
77076
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Network Health Insurance (NHIC) Medicare 77076 835
Network Health Plan of Wisconsin - Commercial
Payer ID
39144
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Network Health Plan of Wisconsin - Commercial 39144 835
Network Health of WI - Commercial
Payer ID
39144
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Network Health of WI - Commercial 39144 835
Network Health of WI - Medicare
Payer ID
77076
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Network Health of WI - Medicare 77076 835
Network Medical Management
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Network Medical Management NMM01 835
NeueHealth
Payer ID
NEUEH
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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Automatic ERA enrollment.
NeueHealth NEUEH 835
New Era Life Insurance Company
Payer ID
98798
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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New Era Life Insurance Company 98798 835
New Hampshire Healthy Families (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.
New Hampshire Healthy Families (Centene) 68069 835
Nippon Life Insurance Company of America
Payer ID
81264
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Nippon Life Insurance Company of America 81264 835
Nivano Physicians IPA
Payer ID
MBA01
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.
Nivano Physicians IPA MBA01 835
Noble AMA Select IPA
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Form can be found under "Physicians Data Trust".
Noble AMA Select IPA PDT01 835
Noble Community Medical Associates LA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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ERA enrollment under Conifer Health Solutions.
Noble Community Medical Associates LA CAPMN 835
Nomi Health
Payer ID
1NOMI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Nomi Health 1NOMI 835
North America Administrators (NAA) - Nashville, Tennessee
Payer ID
65085
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
North America Administrators (NAA) - Nashville, Tennessee 65085 835
North American Administrators
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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Enrollment completed under 'Meritain Health' in ECHO.
North American Administrators 64157 835
North East Medical Services (NEMS)
Payer ID
NEMS1
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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North East Medical Services (NEMS) NEMS1 835
North Iowa Community Health Plan (NICH)
Payer ID
78353
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
North Iowa Community Health Plan (NICH) 78353 835
North Shore - LIJ (Healthfirst)
Payer ID
17516
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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North Shore - LIJ (Healthfirst) 17516 835
North Shore - LIJ CareConnect Insurance Company
Payer ID
46227
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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North Shore - LIJ CareConnect Insurance Company 46227 835
Northern Nevada Operating Engineers Health and Welfare
Payer ID
88027
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 instructions our listed in our form library under "Benefit Plan Administrators (WI)"
Northern Nevada Operating Engineers Health and Welfare 88027 835
Northern Nevada Trust Fund (Benefit Plan Admin)
Payer ID
88027
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 instructions our listed in our form library under "Benefit Plan Administrators (WI)"
Northern Nevada Trust Fund (Benefit Plan Admin) 88027 835
Northshore Physician Associates
Payer ID
48026
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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Northshore Physician Associates 48026 835
Nova Healthcare Administrators, Inc.
Payer ID
16644
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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Grand Island, New York.
Nova Healthcare Administrators, Inc. 16644 835
NovaSys Health (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.
NovaSys Health (Centene) 68069 835
OODA Health
Payer ID
OODAH
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.
OODA Health OODAH 835
Oak West Physician Association
Payer ID
36400
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Oak West Physician Association 36400 835
Ogden Benefits Administration (EBC)
Payer ID
OBA16
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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Ogden Benefits Administration (EBC) OBA16 835
Ohana Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Ohana Health Plan 14163 835
Ohio PPO Connect
Payer ID
74431
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Ohio PPO Connect 74431 835
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
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 should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
OhioRISE - Aetna Better Health of Ohio 45221 835
Ojai Valley Community Medical Group
Payer ID
SVIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Payer will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Ojai Valley Community Medical Group SVIPA 835
Oklahoma Complete Health (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.
Oklahoma Complete Health (Centene) 68069 835
Oklahoma DRS DOC
Payer ID
71065
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
Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Oklahoma DRS DOC 71065 835
Old Surety Life Insurance Co
Payer ID
29237
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 only payer; enrollment is required.
Old Surety Life Insurance Co 29237 835
One Care Connect (OCC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Effective 7/1/15.
One Care Connect (OCC) CALOP 835
OneCare (OC)
Payer ID
CALOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
OneCare (OC) CALOP 835
Operating Engineers Local 501 of California
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Operating Engineers Local 501 of California BC001 835
Optima Insurance Company
Payer ID
54154
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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Optima Insurance Company 54154 835
Optimum Healthcare
Payer ID
20133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Optimum Healthcare 20133 835
Optum / Salt Lake County (Medicaid)
Payer ID
U6885
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Optum / Salt Lake County (Medicaid) U6885 835
Optum Care Network
Payer ID
OCN01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Previously Known as Health Care Partners California.
Optum Care Network OCN01 835
Optum Care Network - Empire Physicians MG
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)
Optum Care Network - Empire Physicians MG IP079 835
Optum Care Network - Primecare Medical Group
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)
Optum Care Network - Primecare Medical Group IP079 835
Optum Care Network–Corona
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)
Optum Care Network–Corona IP079 835
Optum Care Network–Hemet Valley
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)
Optum Care Network–Hemet Valley IP079 835
Optum Care Network–Inland Valley
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)
Optum Care Network–Inland Valley IP079 835
Optum Care Network–Moreno Valley
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)
Optum Care Network–Moreno Valley IP079 835
Optum Care Network–Redlands
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)
Optum Care Network–Redlands IP079 835
Optum Care Network–Riverside
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)
Optum Care Network–Riverside IP079 835
Optum Care Network–Southwestern Valleys
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)
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Sun City
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)
Optum Care Network–Sun City IP079 835
Optum Care Network–Valley Physicians
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)
Optum Care Network–Valley Physicians IP079 835
Optum Maryland Behavioral Health
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.
Optum Maryland Behavioral Health OMDBH 835
Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks)
Payer ID
41194
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Optum – Complex Medical Conditions (CMC) (formerly OptumHealth Care Solutions and United Resource Networks) 41194 835
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network)
Payer ID
LIFE1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EFT enrollment is required in order to activate ERAs.
OptumCare / AZ, UT (formerly Optum Medical Network & Lifeprint Network) LIFE1 835
OptumHealth / OptumHealth Physical Health (includes Oxford) (Formerly ACN)