All Available Payers with Office Ally Payer List

Formerly Unicare (80314).

Payer returns ERA's automatically once electronic claim submission begins (effective 12/7/15).

Payer returns ERA's automatically once electronic claim submission begins (effective 12/7/15).

Payer returns ERAs automatically.

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

All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information.

All providers must be entered into CHG's Claims system before EDI claims can be submitted. If this is the first time your Medical Group or Facility is billing Community Health Group (CHG) or you have a new rendering provider to add to your group, please send the information to CHG's Credentialing department requesting the group/practitioner be added. Please email (credentialing@chgsd.com ) or fax (619-585-0932) your billing W9 & NPI information and if applicable, the rendering provider NPI & license information. Office Ally is designated clearinghouse for Real Time Transactions.

Office Ally is designated clearinghouse for Real Time Transactions.

Payer returns ERAs automatically.

When enrolling for 78375 ERAs, you must also enroll under 25531, 13551, and 55247. Office Ally will handle 2016/2017 DOS based routing between Payer ID 78375 and 783PT.

Enrollment instructions listed under Cigna Healthcare.

To enroll for ERA’s, send an email to Contessa Health (info@contessahealth.com). The payer will direct you through their enrollment process.

PO Box 21670 Eagan MN 55121.

ERA enrollment forms will be listed under Centene Corporation.

Payer returns ERA automatically.

Enrollment completed under 'Meritain Health' in ECHO.

Payer returns ERA automatically.

ERA only payer - IAS Admin Payer.

Atlanta, GA.

ERA only payer - IAS Admin Payer.

Automatic ERA enrollment upon electronic claim submission

Automatic ERA enrollment upon electronic claim submission

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: CT, DE, District of Columbia, MA, ME, MD, NH, NJ, NY, PA, RI, and VT. Effective 6/30/16 (3pm EST), Jurisdiction A will transition from NGS to CGS (Contractor Code: 16013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: IL, IN, KY, MI, MN, OH, and WI. Effective 6/30/16 (3pm EST), Jurisdiction B will transition from NGS to CGS (Contractor Code: 17013). Office Ally will handle all updates on the back end and no submitter action is required.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AL, AR, CO, GA, FL, LA, MS, NC, NM, OK, SC, TN, TX, VA, WV, Puerto Rico, and US Virgin Islands. Contractor Code: 18003.

EDI enrollment form under Payer Enrollment Forms - All or Multiple States. Coverage: AK, AZ, CA, HI, ID, IA, KS, MO, MT, NE, NV, ND, OR, SD, UT, WA, and WY. Contractor Code: 19003.

ERA enrollment forms listed under Centene Corporation.

Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.

Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)

Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)

A UHIN pass through few applies to this transaction.

ERA only payer; Enrollment required.

Please use the enrollment form located under Optum Care Network.

A UHIN pass through few applies to this transaction.

Payer returns ERA automatically - no enrollment required.

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

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

Payer returns ERAs automatically.

Effective 9/1/2019 Previously known as San Jose Medical Group.

Elderplan Provider ID is necessary on all claim submissions. If you do not know your provider ID, contact (718) 921-7979.

ERA only payer - IAS Admin Payer.

Effective 1/1/22

Enrollment forms are listed under OptiCare Managed Vision.

ERA only payer - IAS Admin Payer.

For claims with DOS 8/1/14 and later. Payer returns ERAs automatically once electronic claim submission begins.

Formerly known as CIGNA Behavioral Health. Enrollment instructions listed under Cigna Healthcare.

ERA only payer - IAS Admin Payer.

New Port Richey, Florida.

As of 1/1/24, enrollment is completed under Optum Care Network (PMGSJ)