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.
NOTICE: The Payer List page is currently unavailable due to scheduled maintanance
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
attachment
WC / Auto
NOTES
Berkley Regional Insurance Company
Payer ID
J1477
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Berkley Regional Insurance Company J1477 837P
Berkley Risk Administrators Company, LLC
Payer ID
J1526
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Berkley Specialty Underwriters TP019 837P
Berkshire Hathaway Direct Insurance Company
Payer ID
J1975
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Berkshire Hathaway Direct Insurance Company J1975 837P
Berkshire Hathaway Homestate Companies (Member of BHHC)
Payer ID
20044
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Covers CA, IL, LA, MN, NC, NJ, OR, TN, TX, VA.
Payer returns ERA's automatically once electronic claim submission begins. No enrollment needed.
Berkshire Hathaway Homestate Companies (Member of BHHC) 20044 837P
Berwind Corporation
Payer ID
J1031
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Berwind Corporation J1031 837P
Best Life & Health Insurance Company
Payer ID
95604
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Best Life & Health Insurance Company 95604 837P
Best Life & Health Insurance Company
Payer ID
95604
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Best Life & Health Insurance Company 95604 837I
Better Health Plans of Tennessee
Payer ID
BHPTN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Better Health Plans of Tennessee BHPTN 270 / 271
Beverly Alianza IPA
Payer ID
NMM06
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Beverly Alianza IPA NMM06 835
Beverly Alianza IPA
Payer ID
NMM06
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Beverly Alianza IPA NMM06 837I
Beverly Alianza IPA
Payer ID
NMM06
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Beverly Alianza IPA NMM06 837P
Beverly Hospital - Imperial Health Holdings
Payer ID
ECMSO
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Beverly Hospital - Imperial Health Holdings ECMSO 837I
Beverly Hospital - Imperial Health Holdings
Payer ID
ECMSO
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Beverly Hospital - Imperial Health Holdings ECMSO 837P
Beverly Hospital BEVAHISP
Payer ID
MPM42
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Beverly Hospital BEVAHISP MPM42 837P
Beverly Hospital BEVAHISP
Payer ID
MPM42
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Beverly Hospital BEVAHISP MPM42 837P
Beverly Hospital BEVAHISP
Payer ID
MPM42
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Beverly Hospital BEVAHISP MPM42 837I
Bind
Payer ID
25463
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Bind 25463 835
Bind
Payer ID
25463
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Bind 25463 837I
Bind
Payer ID
25463
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Bind 25463 837P
Bind (PreferredOne)
Payer ID
BIND
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Bind (PreferredOne) BIND 270 / 271
Bituminous Fire and Marine
Payer ID
J1691
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
Bituminous Fire and Marine J1691 837P
Black Hawk
Payer ID
CB987
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
Hide note
Black Hawk CB987 837P
Black Hawk
Payer ID
CB987
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Black Hawk CB987 837I
Block Vision - Eye Specialists
Payer ID
BVES1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Block Vision - Eye Specialists BVES1 837P
Blue Advantage
Payer ID
TLY26
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Blue Advantage TLY26 837D
Blue Benefit Administrators of MA
Payer ID
03036
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Blue Benefit Administrators of MA 03036 837P
Blue Benefit Administrators of MA
Payer ID
03036
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Blue Benefit Administrators of MA 03036 837D
Blue Benefit Administrators of MA
Payer ID
03036
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Benefit Administrators of MA 03036 837I
Blue Benefit Administrators of MA
Payer ID
03036
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Benefit Administrators of MA 03036 835
Blue Benefit Administrators of MA
Payer ID
BBA-MA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Blue Benefit Administrators of MA BBA-MA 270 / 271
Blue Card Program
Payer ID
BS002
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Blue Card Program BS002 837P
Blue Card Program
Payer ID
BS002
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Blue Card Program BS002 837I
Blue Care Family Plan
Payer ID
00700
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Care Family Plan 00700 837D
Blue Care Network Advantage of Michigan
Payer ID
00210
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Blue Care Network Advantage of Michigan 00210 837I
Blue Care Network Advantage of Michigan
Payer ID
00210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Enrollment is completed under BCBS Michigan
Blue Care Network Advantage of Michigan 00210 835
Blue Care Network Advantage of Michigan
Payer ID
00710
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Enrollment is completed under BCBS Michigan
Blue Care Network Advantage of Michigan 00710 835
Blue Care Network Advantage of Michigan
Payer ID
00710
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Blue Care Network Advantage of Michigan 00710 837P
Blue Care Network of Michigan
Payer ID
00210
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Care Network of Michigan 00210 837I
Blue Care Network of Michigan
Payer ID
00210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan 00210 835
Blue Care Network of Michigan
Payer ID
00710
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan 00710 835
Blue Care Network of Michigan
Payer ID
00710
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Care Network of Michigan 00710 837P
Blue Choice of South Carolina
Payer ID
00922
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Blue Choice of South Carolina 00922 837I
Blue Choice of South Carolina
Payer ID
00922
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Blue Choice of South Carolina 00922 837P
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 837P
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 837I
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 835
Blue Cross Community Centennial (BCBS NM)
Payer ID
BCBS-COMMCENT
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT 270 / 271
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837I
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837P
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Enrollment completed under '00790'.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 835
Blue Cross Community Centennial (BCBS NM)
Payer ID
BCBS-COMMCENT
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT 276 / 277
Blue Cross Community ICP / FHP
Payer ID
66005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 837P
Blue Cross Community ICP / FHP
Payer ID
66005
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 835
Blue Cross Community ICP / FHP
Payer ID
66005
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 837I
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837P
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837I
Blue Cross Community MMAI
Payer ID
66005
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 835
Blue Cross Community Options of Illinois
Payer ID
66005
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 837I
Blue Cross Community Options of Illinois
Payer ID
66005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 837P
Blue Cross Community Options of Illinois
Payer ID
66005
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 835
Blue Cross Community Options of Illinois
Payer ID
MCDIL
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Blue Cross Community Options of Illinois MCDIL 270 / 271
Blue Cross Complete of Michigan
Payer ID
32002
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 837I
Blue Cross Complete of Michigan
Payer ID
32002
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 837P
Blue Cross Complete of Michigan
Payer ID
32002
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 835
Blue Cross Complete of Michigan
Payer ID
BCMI-COMPLETE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Cross Complete of Michigan BCMI-COMPLETE 270 / 271
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Enrollment for 66006 covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 835
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837I
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837P
Blue Medicare Advantage (Anthem)
Payer ID
BLUE-MA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Medicare Advantage (Anthem) BLUE-MA 270 / 271
Blue Medicare Advantage (Anthem)
Payer ID
BLUE-MA
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Medicare Advantage (Anthem) BLUE-MA 276 / 277
Blue Medicare of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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(Same form as BCBS North Carolina).
Blue Medicare of North Carolina SB810 837P
Blue Medicare of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Medicare of North Carolina SB810 837I
Blue Medicare of North Carolina
Payer ID
SB810
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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(Same form as BCBS North Carolina).
Blue Medicare of North Carolina SB810 835
Blue Shield of California (P.O. Box 272540)
Payer ID
BSCA3
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Shield of California (P.O. Box 272540) BSCA3 837D
Blue Shield of California (P.O. Box 272590)
Payer ID
BSCA1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Blue Shield of California (P.O. Box 272590) BSCA1 837D
Boilermakers National Health & Welfare Fund 36609 837P
BoldAge Pace CA Fresno
Payer ID
65436
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BoldAge Pace CA Fresno 65436 837I
BoldAge Pace CA Fresno
Payer ID
65436
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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BoldAge Pace CA Fresno 65436 837P
Boldage Pace IN Evansville
Payer ID
65433
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace IN Evansville 65433 837I
Boldage Pace IN Evansville
Payer ID
65433
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace IN Evansville 65433 837P
Boldage Pace KY Owensboro
Payer ID
65435
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace KY Owensboro 65435 837I
Boldage Pace KY Owensboro
Payer ID
65435
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boldage Pace KY Owensboro 65435 837P
Boler Company
Payer ID
J1870
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
Boler Company J1870 837P
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. 74238 837I
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. 74238 837P
Boon Chapman Administrators, Inc.
Payer ID
74238
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. 74238 835
Boon Chapman Administrators, Inc.
Payer ID
BOON-CHAPMAN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boon Chapman Administrators, Inc. BOON-CHAPMAN 270 / 271
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boston Medical Center Health Plan (BMCHP) 13337 837P
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Form listed under BMC HealthNet Plan.
Boston Medical Center Health Plan (BMCHP) 13337 835
Boston Medical Center Health Plan (BMCHP)
Payer ID
13337
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boston Medical Center Health Plan (BMCHP) 13337 837I
Boston Medical Center Health Plan (BMCHP)
Payer ID
BMCHP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Boston Medical Center Health Plan (BMCHP) BMCHP 270 / 271