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
Keystone Mercy Health Plan
Payer ID
23284
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone Mercy Health Plan 23284 835
Keystone West (Highmark)
Payer ID
54771
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Keystone West (Highmark) 54771 835
Kova Healthcare, Inc.
Payer ID
KOVA1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Kova Healthcare, Inc. KOVA1 835
LA Care Health Plan
Payer ID
LACAR
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LA Care Health Plan LACAR 835
LADOC CorrectCare
Payer ID
LADOC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LADOC CorrectCare LADOC 835
LBA Health Plans
Payer ID
52193
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LBA Health Plans 52193 835
LaSalle Medical Associates
Payer ID
LSMA2
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LaSalle Medical Associates LSMA2 835
Lakewood 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.
Lakewood IPA CAPMN 835
Landmark
Payer ID
LNDMK
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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ONLY Clients of ChiroCare of MN practicing in MN, WI, ND, SD, NE or IA can get electronic remits at this time.
Landmark LNDMK 835
LifeWell Health Plans
Payer ID
71063
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWell Health Plans 71063 835
LifeWise Healthplan of Oregon (Premera)
Payer ID
93093
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Oregon (Premera) 93093 835
LifeWise Healthplan of Washington (Premera)
Payer ID
00430
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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LifeWise Healthplan of Washington (Premera) 00430 835
LifeWorks Advantage (ISNP plan)
Payer ID
LWA01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Effective 1/1/17. Payer returns ERA's automatically once electronic claim submission begins. To request paper EOB’s, email helpdesk@claimsnet.com.
LifeWorks Advantage (ISNP plan) LWA01 835
Lifetime Benefit Solutions
Payer ID
EBSRM
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Lifetime Benefit Solutions EBSRM 835
Line Construction Benefit Fund
Payer ID
LCB01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Line Construction Benefit Fund LCB01 835
Live Well IPA
Payer ID
LWIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERAs automatically.
Live Well IPA LWIPA 835
Lockard & Williams
Payer ID
CB752
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Lockard & Williams CB752 835
Longevity CO
Payer ID
LCO01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity CO LCO01 835
Longevity FL
Payer ID
LFL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity FL LFL01 835
Longevity IL
Payer ID
LIL01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity IL LIL01 835
Longevity MI
Payer ID
LMI01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity MI LMI01 835
Longevity NC
Payer ID
LNC01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity NC LNC01 835
Longevity NJ
Payer ID
LNJ01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity NJ LNJ01 835
Longevity OK
Payer ID
LOK01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Payer returns ERA's automatically once electronic claim submission begins.
Longevity OK LOK01 835
Louisiana Healthcare Connections (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.
Payer no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
Medicaid Georgia 77034 835
Medicaid Hawaii
Payer ID
MCDHI
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Hawaii MCDHI 835
Medicaid Idaho
Payer ID
MCDID
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Idaho MCDID 835
Medicaid Indiana
Payer ID
MCDIN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Indiana MCDIN 835
Medicaid Iowa
Payer ID
18049
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Iowa 18049 835
Medicaid Kansas
Payer ID
MCDKS
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kansas MCDKS 835
Medicaid Kentucky
Payer ID
MCDKY
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Kentucky MCDKY 835
Medicaid Louisiana
Payer ID
MCDLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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Medicaid Louisiana MCDLA 835
Medicaid Louisiana (Ambulance)
Payer ID
AMBLA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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EDI Enrollment Form is the same as Medicaid Louisiana.
Medicaid Louisiana (Ambulance) AMBLA 835
Medicaid Louisiana (Durable Medical Equipment)
Payer ID
DMELA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
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DME (Durable Medical Equipment) Claims Only. EDI enrollment is the same as Medicaid Louisiana.
Medicaid Louisiana (Durable Medical Equipment) DMELA 835