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
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
Monroe
Payer ID
J4173
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.
Monroe J4173 837P
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.
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Monument Administrators - Victory Comp J1530 837P
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
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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
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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
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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
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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
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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
Mount Sinai Eldercare
Payer ID
R3492
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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Mount Sinai Eldercare R3492 837I
Mount Sinai Eldercare
Payer ID
R3492
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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Mount Sinai Eldercare R3492 837P
Mount Sinai Eldercare
Payer ID
R3492
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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Mount Sinai Eldercare R3492 835
MOVEDOCS (aka LIBRA)
Payer ID
J4723
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.
MOVEDOCS (aka LIBRA) J4723 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
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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
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
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
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
View note
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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
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
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
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
View note
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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
View note
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Administered by PH Tech.
Multnomah Treatment Fund (Formerly known as Verity Plus) VMMH2 837P
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 837D
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 835
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 837P
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 837I
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 270 / 271
Municipal Health Benefit Fund
Payer ID
81883
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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Municipal Health Benefit Fund 81883 276 / 277
Mutual Assurance
Payer ID
37256
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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Mutual Assurance 37256 837P
Mutual Assurance
Payer ID
37256
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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Mutual Assurance 37256 835
MUTUAL HEALTH SERVICES
Payer ID
ANTARES
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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MUTUAL HEALTH SERVICES ANTARES 270 / 271
Mutual Health Services
Payer ID
34192
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 Antares Management Solutions.
Mutual Health Services 34192 837I
Mutual Health Services
Payer ID
34192
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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Formerly Antares Management Solutions.
Mutual Health Services 34192 835
Mutual Health Services
Payer ID
34192
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 Antares Management Solutions.
Mutual Health Services 34192 837P
Mutual Health Services
Payer ID
MUTUAL-HEALTH
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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Mutual Health Services MUTUAL-HEALTH 276 / 277
Mutual Health Services
Payer ID
MUTUAL-HEALTH
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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Mutual Health Services MUTUAL-HEALTH 270 / 271
Mutually Preferred
Payer ID
71412
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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Mutually Preferred 71412 837P
Mutually Preferred
Payer ID
71412
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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Mutually Preferred 71412 837I
Mutually Preferred
Payer ID
71412
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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Mutually Preferred 71412 837D
Mutually Preferred
Payer ID
71412
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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Mutually Preferred 71412 835
Mutually Preferred
Payer ID
MUTUALLY-PREF
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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Mutually Preferred MUTUALLY-PREF 270 / 271
Mutually Preferred
Payer ID
MUTUALLY-PREF
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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Mutually Preferred MUTUALLY-PREF 276 / 277
Mutual of Omaha
Payer ID
10498
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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Mutual of Omaha 10498 270 / 271
Mutual of Omaha
Payer ID
10498
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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Mutual of Omaha 10498 276 / 277
Mutual of Omaha
Payer ID
71412
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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Mutual of Omaha 71412 837P
Mutual of Omaha
Payer ID
71412
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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Mutual of Omaha 71412 837I
Mutual of Omaha
Payer ID
71412
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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Mutual of Omaha 71412 837D
Mutual of Omaha
Payer ID
71412
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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Mutual of Omaha 71412 835
Mutual of Omaha Dental
Payer ID
CX087
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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Mutual of Omaha Dental CX087 837D
Mutual of Omaha Medicare Advantage
Payer ID
71412
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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Mutual of Omaha Medicare Advantage 71412 837P
Mutual of Omaha Medicare Advantage
Payer ID
71412
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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Mutual of Omaha Medicare Advantage 71412 837I
Mutual of Omaha Medicare Advantage
Payer ID
71412
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 is completed under payer code 71412
Mutual of Omaha Medicare Advantage 71412 835
Mutual of Omaha Medicare Advantage
Payer ID
MOMA
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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Mutual of Omaha Medicare Advantage MOMA 270 / 271
MVP Health Care (Mohawk Valley)
Payer ID
14165
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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MVP Health Care (Mohawk Valley) 14165 837P
MVP Health Care (Mohawk Valley)
Payer ID
14165
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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MVP Health Care (Mohawk Valley) 14165 837I
MVP Health Care (Mohawk Valley)
Payer ID
14165
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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MVP Health Care (Mohawk Valley) 14165 835
MVP Health Plan
Payer ID
MVP-HP
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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MVP Health Plan MVP-HP 276 / 277
MVP Health Plan
Payer ID
MVP-HP
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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MVP Health Plan MVP-HP 270 / 271
MVP Health Plan of New York
Payer ID
10500
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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MVP Health Plan of New York 10500 270 / 271
MVP Health Plan of New York - Child Health Plus
Payer ID
MVP-CHILD-PLUS
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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MVP Health Plan of New York - Child Health Plus MVP-CHILD-PLUS 270 / 271
