All Available Payers with Office Ally Payer List

Subscriber ID must start with H or C, 2nd char alphanumeric, 3rd-10 chars numeric, for WC claims and claims with attachments use Payer ID J1548. A UHIN pass through few applies to this transaction.

Note: To submit WC or Auto claims with Attachments please use payer ID J1548 located exclusively on our WC payer list. If submitting without attachments please continue to use 31059. A UHIN pass through few applies to this transaction.

(Same form as BCBS North Carolina).

ERA only payer - IAS Admin Payer.

ERA only payer - IAS Admin Payer.

EFT enrollment is required in order to activate ERAs.

ERA enrollment forms will be listed under Centene Corporation.

ERA enrollment forms will be listed under Centene Corporation.

ERA enrollment forms will be listed under Centene Corporation.

formerly known as Bind

Claims/Encounters

Claims/Encounters

Claims/Encounters

Payer returns ERA automatically. No enrollment required.

Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.

Enrollment completed under Medicaid Texas

For RTS and RTE Office Allyis the designated clearinghouse for this payer.

St. Clairsville and Massillon, Ohio / Morgantown and Charleston, West Virginia.

St. Clairsville and Massillon, Ohio.

Morgantown and Charleston, West Virginia.

Payer returns ERAs automatically.

Automatic Enrollment for ERAs

Automatic Enrollment for ERA

EDI enrollment form under Payer Enrollment Forms - All or Multiple States.

Form can be found under "Physicians Data Trust".

Region 4 & 5 States: American Samoa, Arizona, California, Colorado, Guam, Hawaii, Idaho, Montana, New Mexico, Nevada, Northern Mariana Islands, Oregon, Texas, Utah, Washington, Wyoming

Effective 1/1/25, ERA Enrollment will only be completed through PGBA & no longer be accepted through WPS.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States.

Coverage: AK, AZ, CA, CO, HI, ID, IA (Except for the Rock Island Arsenal Area), KS, MN, MO, MT NE, NV, NM, ND, OR, SD, West TX, UT, WA.

ERA enrollment forms will be listed under Centene Corporation.

Formerly East Carolina Behavioral Health. Remits are returned under payer ID 43071.

Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.

Payer returns ERAs automatically - UPON ELECTRONIC CLAIM SUBMISSION VIA OFFICE ALLY only

The ERA enrollment form will be listed under "MemorialCare".

Payer returns ERAs automatically once electronic claim submission begins. Note: Payer does not return 835s for claims submitted by paper.

Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.

Former Payer IDs: 31107, 33108, 37237, 74214, 74223, 75196, and 75243.