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
Midwest Operating Engineers Welfare Fund
Payer ID
45979
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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Midwest Operating Engineers Welfare Fund 45979 837P
Midwest Security
Payer ID
79048
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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Midwest Security 79048 837D
Miller Grove ISD
Payer ID
J3947
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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Miller Grove ISD J3947 837P
Miller Grove ISD
Payer ID
J3947
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Miller Grove ISD J3947 837I
Miller Grove ISD
Payer ID
J3947
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Miller Grove ISD J3947 835
Millette Administrators, Inc
Payer ID
MAI58
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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Millette Administrators, Inc MAI58 837P
Millette Administrators, Inc
Payer ID
MAI58
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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Millette Administrators, Inc MAI58 837I
Millette Administrators, Inc. (Michigan)
Payer ID
MAI60
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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Millette Administrators, Inc. (Michigan) MAI60 837I
Millette Administrators, Inc. (Michigan)
Payer ID
MAI60
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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Millette Administrators, Inc. (Michigan) MAI60 837P
Mills Peninsula Health Services (SPS - Sutter)
Payer ID
SC050
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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Mills Peninsula Health Services (SPS - Sutter) SC050 837I
Mills Peninsula Health Services (SPS - Sutter)
Payer ID
SC050
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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Mills Peninsula Health Services (SPS - Sutter) SC050 837P
Mills Peninsula Medical Group (SPS - Sutter)
Payer ID
SC050
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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Mills Peninsula Medical Group (SPS - Sutter) SC050 837I
Mills Peninsula Medical Group (SPS - Sutter)
Payer ID
SC050
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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Mills Peninsula Medical Group (SPS - Sutter) SC050 837P
Minneapolis Public School - CORVEL
Payer ID
J2890
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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Minneapolis Public School - CORVEL J2890 837P
Minneapolis Public School - CORVEL
Payer ID
J2890
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Minneapolis Public School - CORVEL J2890 837I
Minneapolis Public School - CORVEL
Payer ID
J2890
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Minneapolis Public School - CORVEL J2890 835
Minnesota Blue Cross Dental (UCCI)
Payer ID
UCCMB
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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Minnesota Blue Cross Dental (UCCI) UCCMB 837D
Minnesota Counties Ins Trust (MCIT)
Payer ID
J1351
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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Minnesota Counties Ins Trust (MCIT) J1351 837P
Minnesota Counties Ins Trust (MCIT)
Payer ID
J1351
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Minnesota Counties Ins Trust (MCIT) J1351 837I
Minnesota Counties Ins Trust (MCIT)
Payer ID
J1351
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Minnesota Counties Ins Trust (MCIT) J1351 835
Minnesota Department of Health
Payer ID
MNDH1
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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Minnesota Department of Health MNDH1 837P
Minnesota Department of Health
Payer ID
MNDH1
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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Minnesota Department of Health MNDH1 837I
Minnesota Department of Health
Payer ID
MNDH1
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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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Minnesota Department of Health MNDH1 835
Minnesota Department of Labor
Payer ID
J1436
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Minnesota Department of Labor J1436 837I
Minnesota Department of Labor
Payer ID
J1436
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Minnesota Department of Labor J1436 835
Minnesota Department of Labor
Payer ID
J1436
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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Minnesota Department of Labor J1436 837P
Minnesota Health Care Program
Payer ID
MCDMN
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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Use the Medicaid Minnesota Enrollment Form.
Minnesota Health Care Program MCDMN 835
Minnesota Health Care Program
Payer ID
MCDMN
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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Use the Medicaid Minnesota Enrollment Form.
Minnesota Health Care Program MCDMN 837P
Minnesota Insurance Guarantee Association (MIGA)
Payer ID
J2094
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Minnesota Insurance Guarantee Association (MIGA) J2094 837I
Minnesota Insurance Guarantee Association (MIGA)
Payer ID
J2094
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
View note
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Minnesota Insurance Guarantee Association (MIGA) J2094 837P
Minnesota Insurance Guarantee Association (MIGA)
Payer ID
J2094
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Minnesota Insurance Guarantee Association (MIGA) J2094 835
Mirra Healthcare
Payer ID
RP106
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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Mirra Healthcare RP106 837P
Mirra Healthcare
Payer ID
RP106
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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Mirra Healthcare RP106 837I
MISHE HEALTH
Payer ID
MISHE
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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MISHE HEALTH MISHE 837I
MISHE HEALTH
Payer ID
MISHE
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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MISHE HEALTH MISHE 837P
Mission Heritage Medical Group
Payer ID
STJOE
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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Mission Heritage Medical Group STJOE 837P
Mission Heritage Medical Group
Payer ID
STJOE
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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Mission Heritage Medical Group STJOE 837I
Mission Hospital Affiliated Physicians
Payer ID
STJOE
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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Mission Hospital Affiliated Physicians STJOE 837I
Mission Hospital Affiliated Physicians
Payer ID
STJOE
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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Mission Hospital Affiliated Physicians STJOE 837P
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
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Mississippi Department Of Corrections - CORVEL J3328 837I
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
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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Mississippi Department Of Corrections - CORVEL J3328 837P
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
View note
Hide note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Mississippi Department Of Corrections - CORVEL J3328 835
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
Payer ID
37233
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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Mississippi Public Entity Employee Benefit Trust (MPEEBT) 37233 835
Mississippi Select Health Care
Payer ID
64088
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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Gulfport, MS.
Mississippi Select Health Care 64088 837P
Mississippi Select Health Care
Payer ID
64088
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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Gulfport, MS.
Mississippi Select Health Care 64088 837I
Mississippi Select Health Care
Payer ID
64088
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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Gulfport, MS.
Mississippi Select Health Care 64088 835
Mississippi TrueCare
Payer ID
MSTRC
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 found and completed under TrueCare Mississippi
Mississippi TrueCare MSTRC 835
Mississippi TrueCare
Payer ID
MSTRC
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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Mississippi TrueCare MSTRC 837P
Mississippi TrueCare
Payer ID
MSTRC
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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Mississippi TrueCare MSTRC 837I
Missoula County Medical Benefits Plan
Payer ID
37275
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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Missoula County Medical Benefits Plan 37275 837I
Missoula County Medical Benefits Plan
Payer ID
37275
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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Missoula County Medical Benefits Plan 37275 837P
Missouri Health Plan (Community & State)
Payer ID
MOHPCS
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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Missouri Health Plan (Community & State) MOHPCS 276 / 277
Missouri Health Plan (Community & State)
Payer ID
MOHPCS
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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Missouri Health Plan (Community & State) MOHPCS 270 / 271
Missouri Medicare Select
Payer ID
MMS01
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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Missouri Medicare Select MMS01 835
Missouri Medicare Select
Payer ID
MMS01
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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Missouri Medicare Select MMS01 837P
Missouri Medicare Select
Payer ID
MMS01
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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Missouri Medicare Select MMS01 837I
Mitsui Sumitomo Insurance Group
Payer ID
J1692
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
View note
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Mitsui Sumitomo Insurance Group J1692 837P
Mitsui Sumitomo Insurance Group
Payer ID
J1692
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Mitsui Sumitomo Insurance Group J1692 835
Mitsui Sumitomo Insurance Group
Payer ID
J1692
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Mitsui Sumitomo Insurance Group J1692 837I
Mitsui Sumitomo Insurance USA Inc.
Payer ID
J1694
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
View note
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Mitsui Sumitomo Insurance USA Inc. J1694 837P
Mitsui Sumitomo Insurance USA Inc.
Payer ID
J1694
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
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Mitsui Sumitomo Insurance USA Inc. J1694 837I
Mitsui Sumitomo Insurance USA Inc.
Payer ID
J1694
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Mitsui Sumitomo Insurance USA Inc. J1694 835
MMM Healthcare
Payer ID
L0210
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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MMM Healthcare L0210 835
MMM Healthcare
Payer ID
L0210
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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MMM Healthcare L0210 837P
MMM Healthcare
Payer ID
L0210
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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MMM Healthcare L0210 837I
MMM Multi Health (Reform)
Payer ID
66065
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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Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
MMM Multi Health (Reform) 66065 837P
MMM Multi Health (Reform)
Payer ID
66065
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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Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
MMM Multi Health (Reform) 66065 837I
MMM Multi Health (Reform)
Payer ID
66065
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 returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
MMM Multi Health (Reform) 66065 835
Mobilitas Insurance Company
Payer ID
J4092
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Payer returns ERAs automatically once electronic claim submission begins. No payer Enrollment is required, but ensure you have an active ERA Delivery Change Form on file to retrieve ERA files.
Mobilitas Insurance Company J4092 835
Mobilitas Insurance Company
Payer ID
J4092
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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Mobilitas Insurance Company J4092 837P
Mobilitas Insurance Company
Payer ID
J4092
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Mobilitas Insurance Company J4092 837I
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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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Moda Health (Formerly ODS Health Plan) 13350 270 / 271
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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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Moda Health (Formerly ODS Health Plan) 13350 837P
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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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Moda Health (Formerly ODS Health Plan) 13350 837I
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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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Moda Health (Formerly ODS Health Plan) 13350 835
Molina Complete Care of Arizona
Payer ID
MLNA-CCAZ
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 Complete Care of Arizona MLNA-CCAZ 270 / 271
Molina Complete Care of Arizona
Payer ID
MLNA-CCAZ
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 Complete Care of Arizona MLNA-CCAZ 276 / 277
Molina Complete Care of Virginia
Payer ID
MCC02
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 Complete Care of Virginia MCC02 835
Molina Complete Care of Virginia
Payer ID
MCC02
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 Complete Care of Virginia MCC02 837P
Molina Complete Care of Virginia
Payer ID
MLNA-CCVA
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 Complete Care of Virginia MLNA-CCVA 270 / 271
Molina Complete Care of Virginia
Payer ID
MCC02
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 Complete Care of Virginia MCC02 837I
Molina Complete Care of Virginia - Encounters
Payer ID
10101
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 Complete Care of Virginia - Encounters 10101 837P
Molina Complete Care of Virginia - Encounters
Payer ID
10101
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 Complete Care of Virginia - Encounters 10101 837I
Molina Healthcare of Arizona
Payer ID
MCC01
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 Arizona MCC01 835
Molina Healthcare of Arizona
Payer ID
MCC01
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 Arizona MCC01 837I
Molina Healthcare of Arizona
Payer ID
MCC01
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 Arizona MCC01 837P
Molina Healthcare of CA Encounters
Payer ID
33373
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 CA Encounters 33373 837I
Molina Healthcare of CA Encounters
Payer ID
33373
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 CA Encounters 33373 837P
Molina Healthcare of California
Payer ID
00222
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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Molina Healthcare of California 00222 270 / 271
Molina Healthcare of California
Payer ID
00222
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 California 00222 276 / 277
Molina Healthcare of California
Payer ID
38333
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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Molina Healthcare of California 38333 837P
Molina Healthcare of California
Payer ID
38333
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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Molina Healthcare of California 38333 837I
Molina Healthcare of California
Payer ID
38333
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 completed under 'Molina Healthcare'
Molina Healthcare of California 38333 835
Molina Healthcare of Connecticut
Payer ID
MLNCT
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 Connecticut MLNCT 837P
Molina Healthcare of Connecticut
Payer ID
MLNA-CT
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Molina Healthcare of Connecticut MLNA-CT 276 / 277
Molina Healthcare of Connecticut
Payer ID
MLNCT
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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Molina Healthcare of Connecticut MLNCT 837I
Molina Healthcare of Connecticut
Payer ID
MLNA-CT
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 Connecticut MLNA-CT 270 / 271
