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
AmeriHealth Administrator
Payer ID
54763
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AmeriHealth Administrator 54763 835
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 835
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 835
AmeriHealth Caritas Delaware
Payer ID
77799
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Plan effective 1/1/2018. ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Delaware 77799 835
AmeriHealth Caritas District of Columbia
Payer ID
77002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas District of Columbia 77002 835
AmeriHealth Caritas Florida
Payer ID
77003
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Florida 77003 835
AmeriHealth Caritas Louisiana
Payer ID
27357
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Formerly known as Louisiana Care (LACare). ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas Louisiana 27357 835
AmeriHealth Caritas New Hampshire
Payer ID
87716
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas New Hampshire 87716 835
AmeriHealth Caritas Next Florida
Payer ID
45408
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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AmeriHealth Caritas Next Florida 45408 835
AmeriHealth Caritas North Carolina
Payer ID
81671
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas North Carolina 81671 835
AmeriHealth Delaware (Non-HMO)
Payer ID
93688
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The Payer is retired and no longer active. Any claims submitted through Office Ally will reject.
American National Insurance Co Medicare Supplement
Payer ID
S4048
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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ERA only payer - IAS Admin Payer.
American National Insurance Co Medicare Supplement S4048 835
American National Life Insurance Co of Texas Medicare Supplement
Payer ID
10596
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.
American National Life Insurance Co of Texas Medicare Supplement 10596 835
American Postal Workers Union (APWU)
Payer ID
44444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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In the Virgin Islands, where the APWU Health Plan member’s local PPO network for providers is VI Equicare and for hospitals is CIGNA, and the APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider, to Payer ID 44444. If this does not apply to you, submit the claims to Payer ID 62308.
American Postal Workers Union (APWU) 44444 835
American Postal Workers Union (APWU)
Payer ID
62308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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In all states except the Virgin Islands, CIGNA is the member’s local PPO network. If APWU Health Plan is the primary payer, submit all medical claims, whether you are a participating or non-participating provider to CIGNA with Payer ID 62308. Enrollment instructions listed under Cigna Healthcare.
American Postal Workers Union (APWU) 62308 835
American Primary Care Alliance IPA
Payer ID
APCA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERAs will be sent automatically after the provider begins submitting.
American Primary Care Alliance IPA APCA1 835
American Specialty Health Plan
Payer ID
ASHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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American Specialty Health Plan ASHP1 835
Americas Health Plan
Payer ID
AHP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Payer returns ERAs automatically once electronic claim submission begins.
Americas Health Plan AHP01 835
Americo Financial Life & Annuity Insurance Co Medicare Supplement
Payer ID
26509
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.
Americo Financial Life & Annuity Insurance Co Medicare Supplement 26509 835
Amerigroup (GA, NM, DC)
Payer ID
26375
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Remit instructions are listed under the name of Amerigroup Corporation.
Amerigroup (GA, NM, DC) 26375 835
Amerihealth Caritas Ohio Medicaid
Payer ID
35374
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.
Amerihealth Caritas Ohio Medicaid 35374 835
Amerihealth Caritas Pennsylvania
Payer ID
22248
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Amerihealth Caritas Pennsylvania 22248 835
Amfirst Insurance Company
Payer ID
64090
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer accepts ONLY SECONDARY Claims.
Amfirst Insurance Company 64090 835
Antares Management Solutions
Payer ID
34192
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now known as Mutual Health Services.
Antares Management Solutions 34192 835
Anthem Blue Cross of California (BCCA)
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Anthem Blue Cross of California (BCCA) BC001 835
Anthem HealthKeepers Plus
Payer ID
00923
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment form found under BCBS Virginia.
Anthem HealthKeepers Plus 00923 835
Anthem Healthy Indiana Plan (HIP)
Payer ID
00630
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Anthem Healthy Indiana Plan (HIP) 00630 835
Anthem Hoosier HealthWise
Payer ID
00630
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Anthem Hoosier HealthWise 00630 835
Anthem Medicaid - Indiana
Payer ID
00630
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
Anthem Medicaid - Indiana 00630 835
Anthem Medicaid - Wisconsin
Payer ID
00950
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Anthem Medicaid - Wisconsin 00950 835
Anthem Medicaid of Ohio
Payer ID
29370
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
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.
Anthem Medicaid of Ohio 29370 835
Anthem NV Medicaid
Payer ID
00265
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Former Payer ID: 00269. Previously known as Amerigroup Community Care NV. Effective February 1, 2018.
Anthem NV Medicaid 00265 835
AppleCare Medical Management
Payer ID
APP01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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Please use the enrollment form located under Optum Care Network.
AppleCare Medical Management APP01 835
Arcadia Methodist IPA
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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Hide note
Arcadia Methodist IPA NMM01 835
Arcadian Management Services
Payer ID
61101
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Arcadian Management Services 61101 835
Arch Health Partners/Centre for Healthcare
Payer ID
SCMG1
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 returns ERA's automatically once electronic claim submission begins.
Arch Health Partners/Centre for Healthcare SCMG1 835
Arise Health Plan (WPS)
Payer ID
ARISE
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Arise Health Plan (WPS) ARISE 835
Arizona 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.
Arizona Complete Health (Centene) 68069 835
Arrowhead Regional Medical Center
Payer ID
ARMC1
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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Arrowhead Regional Medical Center ARMC1 835
Arroyo Vista Family Health Center
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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Arroyo Vista Family Health Center NMM01 835
Asian American Medical Group
Payer ID
AAMG1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Asian American Medical Group AAMG1 835
Assured Benefits Administrators
Payer ID
74240
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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Assured Benefits Administrators 74240 835
Asuris Northwest Health
Payer ID
93221
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Asuris Northwest Health 93221 835
Atrio Health Plans
Payer ID
ATRIO
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Atrio Health Plans ATRIO 835
AultCare/PrimeTime Health Plan
Payer ID
MNAUL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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AultCare/PrimeTime Health Plan MNAUL 835
Automated Benefit Services
Payer ID
38259
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Automated Benefit Services 38259 835
Auxiant
Payer ID
AUX01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Auxiant AUX01 835
AvMed
Payer ID
59274
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
AvMed 59274 835
Avalon Healthcare Solutions
Payer ID
AVA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
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Submitter must contact the payer at 855-895-1676 (Provider Services) prior to sending claims.
Avalon Healthcare Solutions AVA01 835
Avalon IPA
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.
Avalon IPA CAPMN 835
Avera Health Plans
Payer ID
46045
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Avera Health Plans 46045 835
Avera Health Plans for John Morrell
Payer ID
38310
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Avera Health Plans for John Morrell 38310 835
Axminster Medical Group
Payer ID
AXM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Automatic ERA enrollment.
Axminster Medical Group AXM01 835
BC California (Anthem)
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
BC California (Anthem) BC001 835
BC Idaho
Payer ID
BLUEC
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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BC Idaho BLUEC 835
BC Pennsylvania (Capital Blue/CAIC)
Payer ID
23045
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BC Pennsylvania (Capital Blue/CAIC) 23045 835
BCBS Alabama
Payer ID
00510
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Alabama 00510 835
BCBS Arizona
Payer ID
53589
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Arizona 53589 835
BCBS Arkansas
Payer ID
00520
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
Health Advantage, Blue Advantage, FEP, ITS and First Source.
BCBS Arkansas 00520 835
BCBS Colorado (Anthem)
Payer ID
00050
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Colorado (Anthem) 00050 835
BCBS Connecticut (Anthem)
Payer ID
00060
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Connecticut (Anthem) 00060 835
BCBS Delaware
Payer ID
89070
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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BCBS Delaware 89070 835
BCBS Delaware (Highmark)
Payer ID
00570
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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(Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
BCBS Delaware (Highmark) 00570 835
BCBS District of Columbia (Carefirst)
Payer ID
SB580
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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Payer only accepts COB claims if primary plan is Medicare.
BCBS District of Columbia (Carefirst) SB580 835
BCBS Empire New York
Payer ID
00803
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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BCBS Empire New York 00803 Blue Cross Blue Shield 835
BCBS Florida (Florida Blue)
Payer ID
00590
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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BCBS Florida (Florida Blue) 00590 835
BCBS Georgia (Anthem)
Payer ID
00601
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Georgia (Anthem) 00601 835
BCBS Hawaii (HMSA)
Payer ID
HMSA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Hawaii (HMSA) HMSA1 835
BCBS Illinois (HCSC)
Payer ID
00621
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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BCBS Illinois (HCSC) 00621 835
BCBS Illinois - Subrogation
Payer ID
MDSIL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For subrogation claims only. Do not publish.
BCBS Illinois - Subrogation MDSIL 835
BCBS Indiana (Anthem)
Payer ID
00630
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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BCBS Indiana (Anthem) 00630 835
BCBS Iowa
Payer ID
88848
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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View note
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ERA Enrollment under Wellmark BCBS.
BCBS Iowa 88848 835
BCBS Kansas
Payer ID
47163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
Hide note
View note
Hide note
BCBS Kansas 47163 835
BCBS Kansas City
Payer ID
47171
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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BCBS Kansas City 47171 835
BCBS Kentucky (Anthem)
Payer ID
00660
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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BCBS Kentucky (Anthem) 00660 835
BCBS Louisiana
Payer ID
53120
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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BCBS Louisiana 53120 835
BCBS Louisiana Advantage Plus Network
Payer ID
89070
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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BCBS Louisiana Advantage Plus Network 89070 835
BCBS Maine (Anthem)
Payer ID
00680
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
View note
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BCBS Maine (Anthem) 00680 835
BCBS Maryland (CareFirst)
Payer ID
SB690
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer only accepts COB claims if primary plan is Medicare.
BCBS Maryland (CareFirst) SB690 835
BCBS Massachusetts
Payer ID
BS059
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Massachusetts BS059 835
BCBS Michigan
Payer ID
00210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Michigan 00210 835
BCBS Michigan
Payer ID
00710
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Michigan 00710 835
BCBS Michigan (Dental Only)
Payer ID
BBMDQ
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Michigan (Dental Only) BBMDQ 835
BCBS Minnesota
Payer ID
00720
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Minnesota 00720 835
BCBS Mississippi
Payer ID
00230
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Mississippi 00230 835
BCBS Missouri (Anthem)
Payer ID
00241
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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BCBS Missouri (Anthem) 00241 835
BCBS Montana (HCSC)
Payer ID
BCSMT
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment completed under 00751
BCBS Montana (HCSC) BCSMT 835
BCBS Mountain States
Payer ID
54828
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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(Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)
BCBS Mountain States 54828 Blue Cross Blue Shield 835