All Available Payers with Office Ally Payer List

Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.

Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.

Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.

ERA enrollment forms will be listed under Centene Corporation.

Providers must enroll for "Health Net CA and OR" (Payer ID 95567) in order to receive ERAs for MHN

ERA enrollment forms will be listed under Centene Corporation.

ERA enrollment forms will be listed under Centene Corporation.

ERA enrollment forms will be listed under Martins Point Health Care

Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.

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 ERAs automatically.

ERA Enrollment is completed with EDI Enrollment.

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"