All Available Payers with Office Ally Payer List

Form can be found under "Hawaii Medical Alliance Association (HMAA)".

Form can be found under "Hawaii Medical Alliance Association (HMAA)".

A UHIN pass through few applies to this transaction.

ERA only payer.

When enrolling for 55247 ERAs, you must also enroll under 25531, 13551, and 78375.

For Medicare Advantage and Individual Family Plan (DOS on or after 1/1/2016) claims only. ERA enrollment forms will be listed under Centene Corporation.

All claims submitted require a valid HealthPartners PA provider ID in the Rendering Provider Network ID field.

InstaMed enrollment under payer ID 96342

Administered by PH Tech.

For claims with DOS on or after 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)

Verify Provider ID prior to submitting claims.

Tampa only.

ERA enrollment is under Health Plan of San Mateo.

Only for claims whose patient ID card shows 40026 as the payer ID.

Claims for DOS After 7/1/2018.

Regence Group Administrator claims should be submitted to Payer ID RGA01, effective January 21, 2017.

Verify Provider ID prior to submitting claims.

Verify Provider ID prior to submitting claims.

Verify Provider ID prior to submitting claims.

Verify Provider ID prior to submitting claims.

Verify Provider ID prior to submitting claims.

Verify Provider ID prior to submitting claims.

Enrollment is completed under Medicaid Kansas. If you are already enrolled for Medicaid Kansas, no additional enrollment is required.

Former Payer ID: 16730. Effective 9/1/17, Amerigroup Louisiana is now Healthy Blue.

ERA enrollment can be found under BCBS of South Carolina.

ERA enrollment form can be found under Blue Cross Blue Shield Montana.

Workers Comp Professional Claims Only. Payer returns ERA automatically for rejected claims only.

claims are to be submitted to Wellcare payer id 14163 and EFT/ERA for Wellcare is available through Payspan under payer ID 14163.

For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

Institutional claims are accepted, but only for DOS on/after 5/31/16.

Enrollment completed under payer Sage Technologies.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

ERA enrollment forms will be listed under Centene Corporation.

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form.

Payer returns ERAs automatically.

ERA enrollment form can be found under MVP Health Care

ERA enrollment forms will be listed under Humana.

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.

ERA enrollment under Conifer Health Solutions.

West Trenton, New Jersey.

They will have a prefix code of "XEL" as their member ID on the BSC card.

ERA forms will be listed under Centene Corporation

Enrollment is completed under Dupage Medical Group

Formerly known as Group and Pension Administrators. Basic Plus (TCC) is now part of Imagine360.

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. ERA Enrollment form is listed under State Farm Insurance Company. A UHIN pass through few applies to this transaction.