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.
First Priority Life Insurance Company (FPLIC) - Highmark
Payer ID
54771
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For those that renewed coverage in 2016.
First Priority Life Insurance Company (FPLIC) - Highmark 54771 835
FirstSolutions
Payer ID
FS802
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Now Known as Bridgeview Company.
FirstSolutions FS802 835
Firstcare (Medicaid)
Payer ID
94998
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Firstcare (Medicaid) 94998 835
Firstcare and Firstcare Medicaid
Payer ID
94999
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Firstcare and Firstcare Medicaid 94999 835
Florida Blue HMO
Payer ID
00590
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Blue HMO 00590 835
Florida Community Care
Payer ID
FLCCR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Community Care FLCCR 835
Florida Health Administrators
Payer ID
86753
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Health Administrators 86753 835
Florida Healthcare Plan
Payer ID
59322
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Florida Healthcare Plan 59322 835
Florida True Health
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.
Florida True Health 77003 835
Fountain Valley IPA (FVIPA)
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective DOS after 5/1/2020 go to payer ID CAPMN. ERA enrollment under Conifer Health Solutions.
Fountain Valley IPA (FVIPA) CAPMN 835
Fountain Valley Premier IPA
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Fountain Valley Premier IPA CAPMN 835
Fox Valley Medicine Site 199
Payer ID
FVMCH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fox Valley Medicine Site 199 FVMCH 835
Freedom Blue
Payer ID
15459
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Freedom Blue 15459 835
Freedom Health Plan
Payer ID
41212
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Freedom Health Plan 41212 835
Friday Health Plans
Payer ID
H0657
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Friday Health Plans H0657 835
Fringe Benefits Coordinators
Payer ID
59204
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Fringe Benefits Coordinators 59204 835
GEMCare Medical Group (Managed Care Systems)
Payer ID
MCS03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GEMCare Medical Group (Managed Care Systems) MCS03 835
GHA Orthopedic Providers Inc.
Payer ID
GHAOP
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GHA Orthopedic Providers Inc. GHAOP 835
Garden State Life Insurance Medicare Supplement
Payer ID
S0950
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.
Garden State Life Insurance Medicare Supplement S0950 835
Gateway Health Plan
Payer ID
25169
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan 25169 835
Gateway Health Plan (Medicaid PA)
Payer ID
25169
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25169 ERAs, you must also enroll under 60550, 91741, 45276, and 47181.
Gateway Health Plan (Medicaid PA) 25169 835
Gateway Health Plan - Medicare Assured
Payer ID
60550
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 60550 ERAs, you must also enroll under 25169, 91741, 45276, and 47181.
Gateway Health Plan - Medicare Assured 60550 835
Geisinger Health Plans
Payer ID
75273
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Geisinger Health Plans 75273 835
GemCare Health Plan, Kern County EPO
Payer ID
MCS03
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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GemCare Health Plan, Kern County EPO MCS03 835
Genesis Medical Group
Payer ID
GMG01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Genesis Medical Group GMG01 835
Giatros Health IPA
Payer ID
GHIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA automatically upon claim submission.
Giatros Health IPA GHIPA 835
Gilsbar
Payer ID
07205
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gilsbar 07205 835
Glendale Adventist Medical Center
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Glendale Adventist Medical Center NMM01 835
Global Care Inc.
Payer ID
07689
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Inc. 07689 835
Global Care Medical Group IPA
Payer ID
MPM05
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Care Medical Group IPA MPM05 835
Global Health
Payer ID
GHOKC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Global Health GHOKC 835
Global Women's Health Providers Inc.
Payer ID
GHAWH
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Global Women's Health Providers Inc. GHAWH 835
Globe Life
Payer ID
91472
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Globe Life 91472 835
Globe Life & Accident Insurance Company
Payer ID
55004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Globe Life & Accident Insurance Company 55004 835
Gold Coast
Payer ID
77160
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Coast 77160 835
Gold Kidney Health Plan
Payer ID
A6865
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gold Kidney Health Plan A6865 835
Gonzaba Medical Group
Payer ID
GMGSA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gonzaba Medical Group GMGSA 835
Government Employees Hospital Association (GEHA)
Payer ID
44054
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Government Employees Hospital Association (GEHA) 44054 835
Granite State (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment forms will be listed under Centene Corporation.
Granite State (Centene) 68069 835
Gravie Inc
Payer ID
GRV01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Gravie Inc GRV01 835
Great Southern Life Insurance Co Medicare Supplement
Payer ID
96477
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.
Great Southern Life Insurance Co Medicare Supplement 96477 835
Great West Health Care
Payer ID
62308
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Enrollment instructions listed under Cigna Healthcare.
Great West Health Care 62308 835
Greater L.A. Healthcare
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Greater L.A. Healthcare CAPMN 835
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians)
Payer ID
GNPMG
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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The ERA enrollment form will be listed under "MemorialCare".
Greater Newport Physicians MemorialCare (formerly known as Greater Newport Physicians) GNPMG 835
Greater Orange Medical Group
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater Orange Medical Group NMM01 835
Greater Oregon Behavioral Health Inc
Payer ID
GOBHI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Please direct claims for DOS after 1/1/2020 to Payer ID 13350. All other claims will be dropped to paper or must be submitted on the payers portal. www.gobhi.org/billing
Greater Oregon Behavioral Health Inc GOBHI 835
Greater San Gabriel Medical Group
Payer ID
NMM01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Greater San Gabriel Medical Group NMM01 835
Greater San Gabriel Valley Physicians
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ERA enrollment under Conifer Health Solutions.
Greater San Gabriel Valley Physicians CAPMN 835
Greater Tri-Cities IPA
Payer ID
PDT01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Form can be found under "Physicians Data Trust".
Greater Tri-Cities IPA PDT01 835
Group Benefit Services
Payer ID
CB951
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Benefit Services CB951 835
Group Health Cooperative (GHC)
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative (GHC) 91051 835
Group Health Cooperative of Eau Claire
Payer ID
95192
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative of Eau Claire 95192 835
Group Health Cooperative of South Central Wisconsin (Claims)
Payer ID
39167
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Cooperative of South Central Wisconsin (Claims) 39167 835
Group Health Options (Pacific Northwest)
Payer ID
91051
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Health Options (Pacific Northwest) 91051 835
Group Health, Inc. (GHI HMO) (Emblem)
Payer ID
25531
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 25531 ERAs, you must also enroll under 13551, 55247, and 78375.
Group Health, Inc. (GHI HMO) (Emblem) 25531 835
Group Health, Inc. (GHI PPO) (Emblem)
Payer ID
13551
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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When enrolling for 13551 ERAs, you must also enroll under 25531, 55247, and 78375.
Group Health, Inc. (GHI PPO) (Emblem) 13551 835
Group Management Services, Inc. (GMS)
Payer ID
47083
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Group Management Services, Inc. (GMS) 47083 835
Guardian Life (The Guardian)
Payer ID
64246
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Guardian Life (The Guardian) 64246 835
HAP Caresource MI Health Link (Medicare-Medicaid Plan)
Payer ID
MIMCR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HAP Caresource MI Health Link (Medicare-Medicaid Plan) MIMCR 835
HMO LA Blue Advantage
Payer ID
72107
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)
HMO LA Blue Advantage 72107 835
HMO Louisiana Blue Advantage
Payer ID
84555
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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For DOS prior to 1/1/2021.
HMO Louisiana Blue Advantage 84555 835
HMSA Quest
Payer ID
HMSA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HMSA Quest HMSA1 835
HN1 Therapy Network
Payer ID
65062
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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HN1 Therapy Network 65062 835
HSI Care Services
Payer ID
HSICS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
HSI Care Services HSICS 835
Hamaspik Choice
Payer ID
47738
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hamaspik Choice 47738 835
Harmony Health Plan
Payer ID
14163
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Harmony Health Plan 14163 835
Harvard Community Health Plan (AKA Harvard Pilgrim Stride)
Payer ID
04245
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Harvard Community Health Plan (AKA Harvard Pilgrim Stride) 04245 835
Harvard Pilgrim Health Care
Payer ID
04271
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Harvard Pilgrim Health Care 04271 835
Hawaii Management Alliance Association (HMAA)
Payer ID
48330
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Hawaii Management Alliance Association (HMAA) 48330 835