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
Molina Healthcare of South Carolina
Payer ID
46299
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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Molina Healthcare of South Carolina 46299 837I
Molina Healthcare of South Carolina
Payer ID
MLNSC
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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Molina Healthcare of South Carolina MLNSC 270 / 271
Molina Healthcare of South Carolina
Payer ID
46299
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 completed under 'Molina Healthcare'
Molina Healthcare of South Carolina 46299 835
Molina Healthcare of Texas
Payer ID
00451
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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Molina Healthcare of Texas 00451 276 / 277
Molina Healthcare of Texas
Payer ID
10488
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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Molina Healthcare of Texas 10488 270 / 271
Molina Healthcare of Texas
Payer ID
20554
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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Molina Healthcare of Texas 20554 837P
Molina Healthcare of Texas
Payer ID
20554
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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Molina Healthcare of Texas 20554 837I
Molina Healthcare of Texas
Payer ID
20554
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 completed under 'Molina Healthcare'
Molina Healthcare of Texas 20554 835
Molina Healthcare of Utah
Payer ID
00227
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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Molina Healthcare of Utah 00227 276 / 277
Molina Healthcare of Utah
Payer ID
MLNUT
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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Molina Healthcare of Utah MLNUT 270 / 271
Molina Healthcare of Utah (aka American Family Care)
Payer ID
12X09
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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Molina Healthcare of Utah (aka American Family Care) 12X09 837I
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
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 completed under 'Molina Healthcare'
Molina Healthcare of Utah (aka American Family Care) SX109 835
Molina Healthcare of Utah (aka American Family Care)
Payer ID
SX109
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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Molina Healthcare of Utah (aka American Family Care) SX109 837P
Molina Healthcare of WA Encounters
Payer ID
43174
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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Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837P
Molina Healthcare of WA Encounters
Payer ID
43174
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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Encounters ONLY.
Molina Healthcare of WA Encounters 43174 837I
Molina Healthcare of Washington
Payer ID
00228
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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Molina Healthcare of Washington 00228 270 / 271
Molina Healthcare of Washington
Payer ID
00228
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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Molina Healthcare of Washington 00228 276 / 277
Molina Healthcare of Washington
Payer ID
38336
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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Molina Healthcare of Washington 38336 837P
Molina Healthcare of Washington
Payer ID
38336
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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Molina Healthcare of Washington 38336 837I
Molina Healthcare of Washington
Payer ID
38336
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 completed under 'Molina Healthcare'
Molina Healthcare of Washington 38336 835
Molina Healthcare of Wisconsin
Payer ID
ABRI1
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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Molina Healthcare of Wisconsin ABRI1 837P
Molina Healthcare of Wisconsin
Payer ID
ABRI1
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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Molina Healthcare of Wisconsin ABRI1 837I
Molina Healthcare of Wisconsin
Payer ID
ABRI1
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 completed under 'Molina Healthcare'
Molina Healthcare of Wisconsin ABRI1 835
Molina Healthcare of Wisconsin
Payer ID
MLNWI
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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Molina Healthcare of Wisconsin MLNWI 270 / 271
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
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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Molina Medicaid Solutions - Idaho MCDID 837P
Molina Medicaid Solutions - Idaho
Payer ID
MCDID
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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Molina Medicaid Solutions - Idaho MCDID 835
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
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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Molina Medicaid Solutions - Louisiana MCDLA 837P
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
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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Molina Medicaid Solutions - Louisiana MCDLA 837I
Molina Medicaid Solutions - Louisiana
Payer ID
MCDLA
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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Molina Medicaid Solutions - Louisiana MCDLA 835
Molina Ohio Medicaid
Payer ID
73160
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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Molina Ohio Medicaid 73160 837I
Molina Ohio Medicaid
Payer ID
73160
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 should be completed under Medicaid Ohio. If you are already approved to receive ERA for Medicaid of Ohio, you do not have to re-enroll.
Molina Ohio Medicaid 73160 835
Molina Ohio Medicaid
Payer ID
73160
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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Molina Ohio Medicaid 73160 837P
Molina Ohio Medicaid
Payer ID
MOLINA-OHMCD
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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Molina Ohio Medicaid MOLINA-OHMCD 270 / 271
Momentum Insurance Plans, Inc.
Payer ID
31415
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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Momentum Insurance Plans, Inc. 31415 837D
Monarch Healthcare IPA
Payer ID
IP095
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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Monarch Healthcare IPA IP095 837I
Monarch Healthcare IPA
Payer ID
IP095
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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Monarch Healthcare IPA IP095 837P
Monitor Life Medicare Supplement
Payer ID
98244
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 only payer - IAS Admin Payer.
Monitor Life Medicare Supplement 98244 835
Montana State Fund - WC
Payer ID
J2893
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.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Montgomery J1424 837P
Montgomery County Self-Insurance Program (MD) - CORVEL
Payer ID
J1890
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.
Montgomery County Self-Insurance Program (MD) - CORVEL J1890 837P
Montgomery County Texas
Payer ID
A0179
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.
Montgomery County Texas A0179 837P
Monument Administrators - Guardian Comp
Payer ID
J1530
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.