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 New York (formerly Total Care)
Payer ID
MLNA-NY
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 New York (formerly Total Care) MLNA-NY 270 / 271
Molina Healthcare of Ohio
Payer ID
20149
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 Ohio 20149 837P
Molina Healthcare of Ohio
Payer ID
20149
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 Ohio 20149 837I
Molina Healthcare of Ohio
Payer ID
20149
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 Ohio 20149 835
Molina Healthcare of Ohio
Payer ID
10487
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 Ohio 10487 270 / 271
Molina Healthcare of South Carolina
Payer ID
46299
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 South Carolina 46299 837P
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
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 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 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
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
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 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 Virginia
Payer ID
MLNA-VA
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 Virginia MLNA-VA 270 / 271
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
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
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
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
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 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 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
Molina Ohio Medicaid
Payer ID
MOLINA-OHMCD-CS
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 Ohio Medicaid MOLINA-OHMCD-CS 276 / 277
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
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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Monarch Healthcare IPA IP095 837P
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
View note
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Monarch Healthcare IPA IP095 837I
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
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.
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
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Monument Administrators - Quality Comp J1530 837P
Monument Administrators - Victory 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
View note
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Monument Administrators - Victory Comp J1530 837P
Monumental Life Insurance Company (MLIC)
Payer ID
TRANSAM-MLIC
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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Monumental Life Insurance Company (MLIC) TRANSAM-MLIC 270 / 271
Morris Associates
Payer ID
35092
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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Morris Associates 35092 837P
Morris Associates
Payer ID
35092
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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Morris Associates 35092 837I
Morris Associates
Payer ID
MORRIS
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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Morris Associates MORRIS 270 / 271
Motion Picture Industry Health Plan
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
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Motion Picture Industry Health Plan BC001 837P
Motion Picture Industry Health Plan
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
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Motion Picture Industry Health Plan BC001 837I
Motion Picture Industry Health Plan
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
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Enrollment is completed under Payer ID 47198
Motion Picture Industry Health Plan BC001 835
MotivHealth Insurance Company
Payer ID
U7632
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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A UHIN pass through fee applies to this transaction. Payer returns ERAs automatically after claim submission.
MotivHealth Insurance Company U7632 837P
MotivHealth Insurance Company
Payer ID
U7632
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
A UHIN pass through fee applies to this transaction. Payer returns ERAs automatically after claim submission.
MotivHealth Insurance Company U7632 835
MotivHealth Insurance Company
Payer ID
U7632
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
Hide note
A UHIN pass through fee applies to this transaction. Payer returns ERAs automatically after claim submission.
MotivHealth Insurance Company U7632 837I
Mountain Health CO-OP
Payer ID
MHC01
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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Mountain Health CO-OP MHC01 835
Mountain Health CO-OP
Payer ID
MHC01
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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Mountain Health CO-OP MHC01 837I
Mountain Health CO-OP
Payer ID
MHC01
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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Mountain Health CO-OP MHC01 837P
Mountain Health Co-op
Payer ID
MHCOOP
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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Mountain Health Co-op MHCOOP 270 / 271
Mountain States Administrators
Payer ID
MTNST
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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Colorado only
Mountain States Administrators MTNST 837P
MPLAN, Inc. - HealthCare Group
Payer ID
95444
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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MPLAN, Inc. - HealthCare Group 95444 837P
MPLAN, Inc. - HealthCare Group
Payer ID
95444
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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MPLAN, Inc. - HealthCare Group 95444 837I
MPLAN, Inc. - HealthCare Group
Payer ID
95444
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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MPLAN, Inc. - HealthCare Group 95444 835
MPM Prospect
Payer ID
MPM16
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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MPM Prospect MPM16 837P
MPM Prospect
Payer ID
MPM16
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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MPM Prospect MPM16 837I
MPMBA
Payer ID
IHS23
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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MPMBA IHS23 837I
MPMBA
Payer ID
IHS23
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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MPMBA IHS23 837P
MPMG (Mercy Physicians Medical Group)
Payer ID
PROSP
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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MPMG (Mercy Physicians Medical Group) PROSP 835
MRIPA - AllCare Health Plan
Payer ID
MRIPA
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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MRIPA - AllCare Health Plan MRIPA 837P
MRIPA - AllCare Health Plan
Payer ID
MRIPA
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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MRIPA - AllCare Health Plan MRIPA 837I
MRIPA - AllCare Health Plan
Payer ID
MRIPA
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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MRIPA - AllCare Health Plan MRIPA 835
MS Administrators
Payer ID
IHS42
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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MS Administrators IHS42 837I
MS Administrators
Payer ID
IHS42
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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MS Administrators IHS42 837P
MSA Care Guard
Payer ID
20572
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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MSA Care Guard 20572 837P
MSA Care Guard
Payer ID
20572
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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MSA Care Guard 20572 837I
Mt. Carmel Health Plan
Payer ID
95655
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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Mt. Carmel Health Plan 95655 837P
Mt. Carmel Health Plan
Payer ID
95655
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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Mt. Carmel Health Plan 95655 837I
MTA Bridges & Tunnels
Payer ID
J4188
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.
MTA Bridges & Tunnels J4188 837P
Multicare Connected Care
Payer ID
RP036
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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Multicare Connected Care RP036 837P
Multicare Connected Care
Payer ID
RP036
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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Multicare Connected Care RP036 837I
Multiplan Wisconsin Preferred Network
Payer ID
34080
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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Multiplan Wisconsin Preferred Network 34080 837I
Multiplan Wisconsin Preferred Network
Payer ID
34080
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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Multiplan Wisconsin Preferred Network 34080 837P
Multnomah County Other
Payer ID
MLTOT
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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Administered by PH Tech.
Multnomah County Other MLTOT 837P
Multnomah County Other
Payer ID
MLTOT
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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Administered by PH Tech.
Multnomah County Other MLTOT 837I
Multnomah Treatment Fund (Formerly known as Verity Plus)
Payer ID
VMMH2
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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Administered by PH Tech.
Multnomah Treatment Fund (Formerly known as Verity Plus) VMMH2 837I
Multnomah Treatment Fund (Formerly known as Verity Plus)
Payer ID
VMMH2
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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Administered by PH Tech.
Multnomah Treatment Fund (Formerly known as Verity Plus) VMMH2 837P
