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
iCARE (Independent Care Health Plan)
Payer ID
11695
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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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 835
ICare Health Options
Payer ID
26054
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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Pls include Network id (pin) on claims. Call Frank Bove @ Atlantis Health Plan to obtain a network id, 212-747-8393.
ICare Health Options 26054 837P
iCARE(Independent Care Health Plan)
Payer ID
11695
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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To activate ERA/835's, email netdev@icare-wi.org requesting they be activated.
iCARE (Independent Care Health Plan) 11695 837P
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL
Payer ID
J3747
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
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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.
Ichahn Automotive Group (Pep Boys & AutoPlus) - CORVEL J3747 837P
iCircle of New York
Payer ID
ICRCL
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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Payer will send 835 after submission.
iCircle of New York ICRCL 835
iCircle of New York
Payer ID
ICRCL
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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iCircle of New York ICRCL 837P
iCircle of New York
Payer ID
ICRCL
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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iCircle of New York ICRCL 837I
IDS Property Casualty
Payer ID
C1099
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto only. At this time, only Professional (HCFA) claims are accepted.
IDS Property Casualty C1099 837P
IDS Property Casualty Insurance Company
Payer ID
12504
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
IDS Property Casualty Insurance Company 12504 837P
IEHP Dental (Admin by LIBERTY Dental Plan)
Payer ID
LDP12
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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IEHP Dental (Admin by LIBERTY Dental Plan) LDP12 837D
IHC Health Solutions
Payer ID
86304
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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IHC Health Solutions 86304 837P
IHC Health Solutions
Payer ID
86304
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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IHC Health Solutions 86304 837I
IL Youthcare (Centene)
Payer ID
68069
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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ERA forms will be listed under Centene Corporation
IL Youthcare (Centene) 68069 835
IL Youthcare (Centene)
Payer ID
68069
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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IL Youthcare (Centene) 68069 837I
IL Youthcare (Centene)
Payer ID
68069
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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IL Youthcare (Centene) 68069 837P
Illinicare Health Plan (Centene)
Payer ID
ILLINICARE
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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Illinicare Health Plan (Centene) ILLINICARE 270 / 271
Illinicare Health Plan (Centene)
Payer ID
ILLINICARE
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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Illinicare Health Plan (Centene) ILLINICARE 276 / 277
Illinois Casualty
Payer ID
J1575
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
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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.
Illinois Casualty J1575 837P
Illinois Health Plans (IHP)
Payer ID
DMG01
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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Illinois Health Plans (IHP) DMG01 837P
Illinois Health Plans (IHP)
Payer ID
DMG01
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 is completed under Dupage Medical Group
Illinois Health Plans (IHP) DMG01 835
Illinois Health Plans (IHP)
Payer ID
DMG01
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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Illinois Health Plans (IHP) DMG01 837I
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837P
ILWU Local 21 (FCHN)
Payer ID
91131
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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ILWU Local 21 (FCHN) 91131 837I
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
IMA (Cotiva) 72091 837P
IMA (Cotiva)
Payer ID
72091
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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1325 Barksdale Blvd Suite 300, Bossier City, LA 71111
IMA (Cotiva) 72091 837I
IMA, Inc
Payer ID
64556
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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IMA, Inc 64556 837P
IMA, Inc
Payer ID
64556
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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IMA, Inc 64556 837I
Imagine360 Administrators (GPA)
Payer ID
48143
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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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.
Imagine360 Administrators (GPA) 48143 837I
Imagine360 Administrators (GPA)
Payer ID
48143
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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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.
Imagine360 Administrators (GPA) 48143 837P
Imagine360 Administrators (GPA)
Payer ID
48143
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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Formerly known as Group and Pension Administrators.
Basic Plus (TCC) is now part of Imagine360.