All Available Payers with Office Ally Payer List

For claims with DOS before 1/1/2018. EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

EDI Enrollment under Virginia Premier Health Plans.

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.

Formerly known as WPS Arise (Prevea). ERA Enrollment completed under WPS Health Insurance / Health Plan

For ERAs email providers@welbehealth.com

Form listed under BMC HealthNet Plan.

Formerly under Payer ID TH023.

Payer returns ERAs automatically.

Formerly Ascension Complete. ERA enrollment forms will be listed under Centene Corporation.

ERA enrollment forms will be listed under Centene Corporation.

Covers IA and SD.

Former Payer ID: 26375. Coverage: New Mexico and Nevada.

Former Payer ID: 26375. Coverage: FL, GA, IA, KS, LA, MD, NJ, NM, NV, NY, TN, TX, and WA.

Former Payer ID: 26375.

Former Payer ID: 26375. Enrollment forms listed under Amerigroup Corporation.

Effective 1/1/17. Payer returns ERA's automatically once electronic claim submission begins. To request paper EOB’s, email helpdesk@claimsnet.com.

Payer returns ERAs automatically once electronic claim submission begins.

ERA enrollment forms will be listed under Centene Corporation.

To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.

Payer will send 835 after submission.

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

ERA Enrollment is completed under payer code 71412

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