All Available Payers with Office Ally Payer List

Formerly known as Neighborhood Health Plan/Allways Health Plan

ERA Enrollment form is under the name "Medical Benefits Mutual"

ERA only payer - IAS Admin Payer.

Payer returns ERA automatically. No enrollment required.

Payer returns ERAs automatically.

ERA only payer - IAS Admin Payer.

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.

EDI Enrollment Form is the same as Medicaid Louisiana.

DME (Durable Medical Equipment) Claims Only. EDI enrollment is the same as Medicaid Louisiana.

Annual re-certification is required.

Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.

A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.

ERA Enrollment form is under the name "Medical Benefits Mutual"

ERA Enrollment form is under the name "Medical Benefits Mutual"

EDI enrollment form under Payer Enrollment Forms - All or Multiple States