All Available Payers with Office Ally Payer List

To enroll for Electronic Remittance Advice, contact Facey's Provider Contracting Dept at (855)-359-6323

Payer returns ERA's automatically once electronic claim submission begins.

Payer returns ERA automatically.

Payer returns ERA automatically.

A UHIN pass through few applies to this transaction.

ERA only payer - IAS Admin Payer.

For Health Net members only (at this time), effective 11/1/16 (Date of Service).

Also known as Quartz ASO and Gundersen Health Plan

Payer returns ERAs automatically once electronic claim submission begins.

Payer returns ERAs automatically once electronic claim submission begins.

Payer returns ERAs automatically once electronic claim submission begins.

For Regence Group Administrator (RGA) claims, effective January 21, 2017.

As soon as providers set up EFT the ERAs are turned on automatically. To set up EFT you may contact Rios Arizona IPA at 1-844-220-9222.

As soon as providers set up EFT, the ERAs are turned on automatically. To set up EFT, you may contact Rios Southwest Medical Group at 1-844-220-9222

Payer returns ERA automatically. No enrollment required.

ERA only payer - IAS Admin Payer.

ERA only payer - IAS Admin Payer.

Enrollment completed under Payer ID 'SAMBA'

ERA only payer - IAS Admin Payer.

Effective 10/1/2022.

ERA enrollment under Conifer Health Solutions.

ERA enrollment is automatic.

Remittance Advice. Previously Payer ID CP001.

Previously Payer ID SAMHP.

Previously payer ID CP001. Not the same as Samaritan Ministries. Do not use this payer ID for Samaritan Ministries.

Remittance Advice. Previously Payer ID CP001.

Payer returns ERAs automatically upon claim submission. If you were previously receiving ERAs from another clearinghouse, email EDIGatewayServices@VisibilEDI.com and ask ERAs be returned to Office Ally.

They will have a prefix code of "XEL" as their member ID on the BSC card.

Payer will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).

ERA Enrollment is under 'Baylor Scott and White Health Care Plan'

Payer will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. ERA enrollment is not required.

Gulfport, MS.

A UHIN pass through few applies to this transaction.

claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.

Naples, FL.

Effective 1/1/2022. Enrollment completed under 'Molina Healthcare'

For DOS 4/1/2021 and forward. Enrollment completed under 'Molina Healthcare'

ERA enrollment forms will be listed under Optima/Sentara

Secondary Payer ONLY - Medicare Supplement

ERA enrollment under Conifer Health Solutions.

Payer returns ERA's automatically once electronic claim submission begins.

Payer returns ERA's automatically once electronic claim submission begins.

Payer returns ERA's automatically once electronic claim submission begins.

ERA only payer - IAS Admin Payer.