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
MD Senior Care Medical Group
Payer ID
MSCMG
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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MD Senior Care Medical Group MSCMG 837P
MDWise
Payer ID
MDWISE
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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MDWise MDWISE 270 / 271
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
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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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 837P
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
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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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 837I
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
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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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 835
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
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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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 837P
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
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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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 837I
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
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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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 835
MDX Hawaii
Payer ID
CAPMN
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 as payer ID MDXHI. ERA Enrollment under Conifer Health Solutions.
MDX Hawaii CAPMN 835
MDX Hawaii
Payer ID
CAPMN
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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MDX Hawaii CAPMN 837I
MDX Hawaii
Payer ID
CAPMN
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 as payer ID MDXHI
MDX Hawaii CAPMN 837P
MDX Hawaii
Payer ID
MDXHI
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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MDX Hawaii MDXHI 837P
MDX Hawaii
Payer ID
MDXHI
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 Enrollment under Conifer Health Solutions.
MDX Hawaii MDXHI 835
Meadowbrook Insurance Company
Payer ID
J1478
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.
Meadowbrook Insurance Company J1478 837P
Med-Pay Inc
Payer ID
MED-PAY
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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Med-Pay Inc MED-PAY 270 / 271
MED3000 California
Payer ID
M3CA1
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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MED3000 California M3CA1 837P
MedAdmin Solutions
Payer ID
58204
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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MedAdmin Solutions 58204 837I
MedAdmin Solutions
Payer ID
58204
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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MedAdmin Solutions 58204 837P
MedAdmin Solutions (Self funded plans)
Payer ID
58202
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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MedAdmin Solutions (Self funded plans) 58202 837P
MedBen
Payer ID
74323
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 Enrollment form is under the name "Medical Benefits Mutual"