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
American Republic Insurance Company (ARIC)
Payer ID
42011
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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PO Box 21670 Eagan MN 55121
American Republic Insurance Company (ARIC) 42011 837P
American Republic Insurance Company (ARIC)
Payer ID
42011
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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PO Box 21670 Eagan MN 55121
American Republic Insurance Company (ARIC) 42011 837I
American Specialty Companies
Payer ID
J1028
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.
American Specialty Companies J1028 837P
American Specialty Health Plan
Payer ID
ASHP1
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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American Specialty Health Plan ASHP1 837P
American Specialty Health Plan
Payer ID
ASHP1
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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American Specialty Health Plan ASHP1 835
American Specialty Ins. / MIB
Payer ID
J1029
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.
American Specialty Ins. / MIB J1029 837P
American Therapy Association (ATA) - Florida
Payer ID
65062
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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P.O. Box 350590 Fort Lauderdale, FL 33335. For ATA's Sunshine MMA/CW & Coventry HK/Medicaid & Humana & Amerigroup claims.
American Therapy Association (ATA) - Florida 65062 837P
American West Health Care Solution
Payer ID
AWHCS
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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American West Health Care Solution AWHCS 837P
American West Health Care Solution
Payer ID
AWHCS
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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American West Health Care Solution AWHCS 837I
American Worker Health Plan
Payer ID
37322
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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American Worker Health Plan 37322 837P
American Worker Health Plan
Payer ID
37322
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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American Worker Health Plan 37322 837I
AmeriChoice - New York Medicaid
Payer ID
86048
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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AmeriChoice - New York Medicaid 86048 837D
AmeriChoice - Pennsylvania Medicaid
Payer ID
86049
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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AmeriChoice - Pennsylvania Medicaid 86049 837D
AmeriChoice Community and State
Payer ID
AMER-CCS
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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AmeriChoice Community and State AMER-CCS 270 / 271
AmeriChoice of New Jersey
Payer ID
00091
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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AmeriChoice of New Jersey 00091 270 / 271
Americo Financial Life
Payer ID
AMERICO
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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Americo Financial Life AMERICO 270 / 271
Americo Financial Life & Annuity Insurance Co Medicare Supplement
Payer ID
26509
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.
Americo Financial Life & Annuity Insurance Co Medicare Supplement 26509 835
Americo IPA
Payer ID
MLAMR
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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Americo IPA MLAMR 837P
Americo IPA
Payer ID
MLAMR
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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Americo IPA MLAMR 837I
Amerigroup (GA, NM, DC)
Payer ID
26375
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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Amerigroup (GA, NM, DC) 26375 837I
Amerigroup (GA, NM, DC)
Payer ID
26375
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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Remit instructions are listed under the name of Amerigroup Corporation.
Amerigroup (GA, NM, DC) 26375 835
Amerigroup (GA, NM, DC)
Payer ID
26375
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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Amerigroup (GA, NM, DC) 26375 837P
Amerigroup of Nevada
Payer ID
SCNAN
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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CA, NV, CO providers only
Amerigroup of Nevada SCNAN 837D
Amerigroup of Nevada
Payer ID
SCNGA
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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GA providers only
Amerigroup of Nevada SCNGA 837D
Amerigroup of Nevada
Payer ID
SCNWI
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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WI providers only
Amerigroup of Nevada SCNWI 837D
Amerigroup of Nevada (Unicare)
Payer ID
SCNUN
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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Amerigroup of Nevada (Unicare) SCNUN 837D
AmeriHealth Administrator
Payer ID
54763
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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AmeriHealth Administrator 54763 837P
AmeriHealth Administrator
Payer ID
54763
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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AmeriHealth Administrator 54763 837I
AmeriHealth Administrator
Payer ID
54763
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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AmeriHealth Administrator 54763 835
AmeriHealth Administrators
Payer ID
11039
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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AmeriHealth Administrators 11039 270 / 271
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 837I
AmeriHealth Caritas / VIP Care
Payer ID
AMH-CARITAS-VIP
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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AmeriHealth Caritas / VIP Care AMH-CARITAS-VIP 270 / 271
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 837P
AmeriHealth Caritas / VIP Care
Payer ID
AMHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care AMHC1 835
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 837P
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
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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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 837I
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
77013
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment under AmeriHealth Caritas.
AmeriHealth Caritas / VIP Care Plus - Michigan 77013 835
AmeriHealth Caritas / VIP Care Plus - Michigan
Payer ID
AMH-VIPMI
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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AmeriHealth Caritas / VIP Care Plus - Michigan AMH-VIPMI 270 / 271