All Available Payers with Office Ally Payer List

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.

Newark, OH.

Newark, OH.

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

Includes Arlington and Fairfax Counties in Northern Virginia and the city of Alexandria.

EDI enrollment form listed under Payer Enrollment Forms - All or Multiple States. ERA activation can be found within the EDI enrollment form.

Includes all cities/counties except Alexandria, Arlington & Fairfax.