All Available Payers with Office Ally Payer List

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.

Enrollment completed under payer Sage Technologies.

Encounters Only. Payer ID Required.

Fee For Service Only. Payer ID Required.

For DOS on or after 1/1/2021.

For DOS on or after 1/1/2021.

For DOS on or after 1/1/2021. ERA Enrollment is completed under BCBS of Louisiana (53120)

For DOS prior to 1/1/2021.

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.

Effective 1/1/2020.

Effective 1/1/2020.

Effective January 1, 2017.

Effective January 1, 2017.

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).

Previous Payer ID AMM19.

Previous Payer ID AMM19.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

ERA enrollment forms will be listed under Centene Corporation.

TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.

TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.

PO Box 1860 Waterloo, IA 50704

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form.

Workers Comp only. At this time, only Professional (HCFA) claims are accepted.

Payer returns ERAs automatically.

Payer returns ERAs automatically.

Payer returns ERAs automatically.

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.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted. Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.