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May 2025 Payer Updates

OA Editorial Team
,
Publisher
June 4, 2025
OA Editorial Team
,
Publisher
June 4, 2025
Clearinghouse Payer List

Office Ally continues to grow its network of available Payers. The following Payers have been added in May 2025 to the Office Ally Payer List or have had updates to their transaction or status information. View our complete Payer List here.

Payer List Updates - May 2025

Payer List Updates - May 2025 [Table A]

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
04/30/25 AARP by UnitedHealthcare 36273 New Transaction X
04/30/25 Absolute Total Care (Centene) ABSOLUTE-TOTAL New Transaction X
04/30/25 AMBETTER (Centene) AMBETTER New Transaction X
04/30/25 Arizona Complete Care (Centene) AZCOMPLETE New Transaction X
04/30/25 Arkansas Total Care (Centene) ARTOTAL New Transaction X
04/30/25 Bridgeway Health Solutions (Centene) BRIDGEWAY New Transaction X
04/30/25 Buckeye Community Health (Centene) BUCKEYE-CH New Transaction X
04/30/25 California Health and Wellness (Centene) CAHLTH New Transaction X
04/30/25 Care 1st Health Plan Arizona (Centene) CARE1ST-AZ New Transaction X
04/30/25 Carolina Complete (Centene) CAROLINA-COMPLETE New Transaction X
04/30/25 Celticare Health Plan (Centene) CELTICARE New Transaction X
04/30/25 Centene Medicare CENTENE-MEDICARE New Transaction X
04/30/25 Coordinated Care (Centene) COORDINATED-CARE New Transaction X
04/30/25 Deleware First Health (Centene) DEFIRST New Transaction X
04/30/25 Granite State (Centene) GRANITE New Transaction X
04/30/25 Home State Health Plan (Centene) HOMESTATE New Transaction X
04/30/25 Illinicare Health Plan (Centene) ILLINICARE New Transaction X
04/30/25 Iowa Total Care (Centene) IATOTAL New Transaction X
04/30/25 Louisiana Healthcare Connections (Centene) LAHLTH New Transaction X
04/30/25 Magnolia Health (Centene) MAGNOLIA New Transaction X
04/30/25 Managed Health Services Indiana (Centene) MHSIN New Transaction X
04/30/25 Managed Health Services Wisconsin (Centene) MHSWI New Transaction X
04/30/25 Michigan Complete Health (Centene) MICHIGAN-COMPLETE New Transaction X
04/30/25 Nebraska Total Care (Centene) NETOTAL New Transaction X
04/30/25 New Hampshire Healthy Families (Centene) NH-HLTHFAM New Transaction X
04/30/25 NovaSys Health (Centene) NOVASYS New Transaction X
04/30/25 Oklahoma Complete Health (Centene) OKLAHOMA-CH New Transaction X
04/30/25 Peach State Health Plan (Centene) PEACH New Transaction X
04/30/25 Pennsylvania Health and Wellness (Centene) PAHLTH New Transaction X
04/30/25 SilverSummit Healthplan SILVER New Transaction X
04/30/25 Sunflower State (Centene) SUNFLOWER New Transaction X
04/30/25 Superior Health Plan (Centene) SUPERIOR New Transaction X
04/30/25 TPHN - Verda 98603 New Payer X X
04/30/25 Trillium Community Health Plan (Centene) TRILLIUM New Transaction X
04/30/25 Wellcare by Allwell (Centene) ASCENSION-COMPLETE New Transaction X
04/30/25 Wellcare by Allwell (Centene) WELLCARE-ALL New Transaction X
04/30/25 Wellcare by Health Net (Centene) WELLCARE-HEALTHNET New Transaction X
04/30/25 Wellcare by Trillium Advantage (Centene) WELLCARE-TRILL-ADV New Transaction X
04/30/25 Western Sky Community Care (Centene) WESTERNSCC New Transaction X
05/01/25 BCBS Alabama (Institutional) BCBSAL-CSIN New Transaction X
05/01/25 BCBS Alabama (Professional) BCBSAL-CSPROF New Transaction X
05/01/25 BCBS Arkansas BCBSAR New Transaction X
05/01/25 BCBS Connecticut (Anthem) 10030 New Transaction X
05/01/25 BCBS Empire New York BCBS-EMPIRE-NY New Transaction X
05/01/25 BCBS Florida (Florida Blue) BCBSF New Transaction X
05/01/25 BCBS Florida Medicare Advantage (Florida Blue) BCBSFL-MEDADV New Transaction X
05/01/25 BCBS Georgia (Anthem) 10032 New Transaction X
05/01/25 BCBS Illinois (HCSC) 10088 New Transaction X
05/01/25 BCBS Illinois Medicare Advantage (HCSC) BCBSIL-MEDADV New Transaction X
05/01/25 BCBS Indiana (Anthem) 10258 New Transaction X
05/01/25 BCBS Iowa BCBSIA New Transaction X
05/01/25 BCBS Kansas City 13111 New Transaction X
05/01/25 BCBS Kentucky (Anthem) 10259 New Transaction X
05/01/25 BCBS Maine (Anthem) 10036 New Transaction X
05/01/25 BCBS Maryland Medicare Advantage (CareFirst) BCBSMD-MEDADV New Transaction X
05/01/25 BCBS Medicaid Ohio (Anthem) ANTHEM-OHMCD New Transaction X
05/01/25 BCBS Mississippi 10099 New Transaction X
05/01/25 BCBS Missouri (Anthem) 10322 New Transaction X
05/01/25 BCBS Montana (HCSC) 11144 New Transaction X
05/01/25 BCBS Montana Medicare Advantage (HCSC) BCBSMT-MEDADV New Transaction X
05/01/25 BCBS Nebraska 10101 New Transaction X
05/01/25 BCBS Nevada (Anthem) 10260 New Transaction X
05/01/25 BCBS New Hampshire (Anthem) 10261 New Transaction X
05/01/25 BCBS New Mexico (HCSC) 10105 New Transaction X
05/01/25 BCBS New Mexico Medicare Advantage (HCSC) BCBSNM-MEDADV New Transaction X
05/01/25 BCBS Ohio (Anthem) 10044 New Transaction X
05/01/25 BCBS Oklahoma (HCSC) 11150 New Transaction X
05/01/25 BCBS Oklahoma Medicare Advantage (HCSC) BCBSOK-MEDADV New Transaction X
05/01/25 BCBS South Dakota 11153 New Transaction X
05/01/25 BCBS Texas Medicaid STAR CHIP BCBSTX-STRCHP New Transaction X
05/01/25 BCBS Texas Medicaid STAR Kids BCBSTX-STRKID New Transaction X
05/01/25 BCBS Texas Medicre Advantage (HCSC) BCSCTX-MEDADV New Transaction X
05/01/25 BCBS Wisconsin (Athem) 10117 New Transaction X
05/01/25 BCBSMN Blue Plus Medicaid BCBSMN-BPM New Transaction X
05/01/25 Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT New Transaction X
05/01/25 Denver Health and Authority 84133 Enrollment Update X
05/01/25 Golden Physicians Medical Group GPMG2 New Transaction X X X X
05/01/25 Loma Linda Medical Center 95352 New Payer X X
05/01/25 MBA TPA 52682 New Payer X X
05/01/25 Mercy Physicians Medical Group (MPMG) PROSP Pay ID X X
05/01/25 New York Network Management 11334 New Transaction X
05/01/25 Sedgwick Managed Care Ohio J4426 New Payer X
05/02/25 BCBS New York - Excellus (Central Region) 12963 New Transaction X
05/02/25 BCBS New York - Excellus (Rochester Region) 12967 New Transaction X
05/02/25 BCBS New York - Excellus (Uthica Watertown Region) 12968 New Transaction X
05/03/25 Partners Behavioral Health of NC 13141 New Transaction X
05/05/25 Advantage by Bridgeway Health Solutions ADVBHS New Transaction X
05/05/25 BCBS Pennsylvania Northeast BCBSPA-NE New Transaction X
05/05/25 BCBS Rhode Island 10111 New Transaction X
05/05/25 BCBS Tennessee 10113 New Transaction X
05/05/25 BCBS Vivity (Anthem) BCBS-VIVITY New Transaction X
05/05/25 BCBS Western New York (Highmark) 00246 New Transaction X
05/05/25 BCBS Western New York Medicaid/CHP BCBSWNY-MCD New Transaction X
05/05/25 Blue Medicare Advantage (Anthem) BLUE-MA New Transaction X
05/06/25 Aflac Medicare Supplement AFLAC-MEDSUPP New Transaction X
05/06/25 Allegiance Benefit Plan Management Inc. ABPM New Transaction X
05/06/25 Allina Health Aetna ALLINA New Transaction X
05/06/25 American Family Insurance AMFAMI New Transaction X
05/06/25 American General Life & Accident AMGEN New Transaction X
05/07/25 Point C IHS29 New Payer X X
05/07/25 Western Health Advantage WESTERN-HA New Payer X
05/08/25 All United Medical Group - Guidant AUMG3 New Payer X X
05/08/25 Central Alliance Physicians - Guidant CAP01 New Payer X X
05/08/25 Community Alliance Medical Group - Guidant CAMG1 New Payer X X
05/12/25 Maryland Public Behavioral Health System BHOMD New Transaction X
05/12/25 Medico Insurance 23160 New Transaction X
05/13/25 InPhysician Associates - Guidant INPA2 New Payer X X
05/14/25 Admin One LLC 87871 New Payer X X
05/14/25 BoldAge Pace CA Fresno 65436 New Payer X X
05/14/25 Boldage Pace IN Evansville 65433 New Payer X X
05/14/25 Boldage Pace KY Owensboro 65435 New Payer X X
05/14/25 Highmark Health Options Dual 47183 New Payer X X
05/14/25 New York City Transit (New York MTA) - CORVEL J4191 New Payer X
05/14/25 New York Department of Sanitation DSNY J4219 New Payer X
05/14/25 Southland Benefit Solutions, LLC (Canopy Vision) V4793 New Payer X
Payer List Updates - May 2025

Payer List Updates - May 2025 [Table B]

Effective Date Payer Name Payer ID Type of Update HCFA UB ADA ERA E&B Claim Status
05/16/25 Innova IPA INVO1 New Payer X X
05/20/25 InnovAge 31182 Payer ID Change X
05/20/25 Medicaid California (MEDI-CAL) CAMCD New Payer X
05/20/25 Mercy Care Health Plans WI IL 39114 New Transaction X
05/21/25 Pacific Senior Medical Group PSMG1 New Payer X X
05/22/25 For Your Benefit FYB01 New Payer X X
05/22/25 Medicaid Massachuestts MCDMA New Transaction X
05/23/25 Physicians Mutual Insurance Company 47027 New Transaction X
05/27/25 LA Care Health Plan LACARE New Transaction X
05/30/25 Ace Property Casualty Ins Medi Sup 96821 Enrollment Update X
05/30/25 American National Medi Sup S4048 Enrollment Update X
05/30/25 Americo Fin Life Annu Ins Medi Sup 26509 Enrollment Update X
05/30/25 Boldage Pace SC Charleston 65434 New Payer X X
05/30/25 Central States Hlth Omaha Medi Sup 96478 Enrollment Update X
05/30/25 Central States Indemnity Medi Sup 95701 Enrollment Update X
05/30/25 Country Financial Medicare Sup 95705 Enrollment Update X
05/30/25 Crum Forster Medicare Supplement 96618 Enrollment Update X
05/30/25 CSI Life Ins Company Medi Sup 95707 Enrollment Update X
05/30/25 East Boston Neighborhood Pace 25849 New Payer X X
05/30/25 Elips Life Ins Company Medi Sup 96801 Enrollment Update X
05/30/25 Erie Insurance Medicare Supplement 96486 Enrollment Update X
05/30/25 Everest Medicare Supplement 96529 Enrollment Update X
05/30/25 Great Southern Life Ins Medi Sup 96477 Enrollment Update X
05/30/25 KSKJ Life Medicare Supplement 95791 Enrollment Update X
05/30/25 Lumico Life Ins Medicare Supplement 96364 Enrollment Update X
05/30/25 Medica Medicare Supplement 96559 Enrollment Update X
05/30/25 MedMutual Protect Medi Supplement 96554 Enrollment Update X
05/30/25 Monitor Life Medicare Supplement 98244 Enrollment Update X
05/30/25 Prescient National Insurance Services J4095 New Payer X
05/30/25 Principal Fin Grp Medi Sup Vision S1271 Enrollment Update X
05/30/25 Prosperity Life Group Medi Sup 95721 Enrollment Update X
05/30/25 Royal Neighbors America Medi Sup 95720 Enrollment Update X
05/30/25 Signal Insurance J3792 New Payer X

OA Editorial Team

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We are Healthcare's Ally. We are here to support healthcare providers and payers with high-value software solutions that are reliable, affordable, and easy-to-use.

OA Editorial Team

Publisher

We are Healthcare's Ally. We are here to support healthcare providers and payers with high-value software solutions that are reliable, affordable, and easy-to-use.

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