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
Northwell Direct
Payer ID
88987
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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Northwell Direct 88987 837I
Northwell Direct
Payer ID
88987
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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Northwell Direct 88987 837P
North West Administrators (FCHN)
Payer ID
91131
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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North West Administrators (FCHN) 91131 837P
North West Administrators (FCHN)
Payer ID
91131
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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North West Administrators (FCHN) 91131 837I
Northwestern Medicine Physicians Network
Payer ID
23550
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 known as Methodist First Choice.
Northwestern Medicine Physicians Network 23550 837I
Northwestern Medicine Physicians Network
Payer ID
23550
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 known as Methodist First Choice.
Northwestern Medicine Physicians Network 23550 837P
Northwestern Medicine Physicians Network
Payer ID
NWEST
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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For DOS 1/1/2021 and forward.
Northwestern Medicine Physicians Network NWEST 837P
Northwestern Medicine Physicians Network
Payer ID
NWEST
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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For DOS 1/1/2021 and forward.
Northwestern Medicine Physicians Network NWEST 837I
Northwestern Medicine Physicians Network
Payer ID
NWEST
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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For DOS 1/1/2021 and forward.
Northwestern Medicine Physicians Network NWEST 837I
Northwestern Medicine Physicians Network
Payer ID
23550
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 known as Methodist First Choice.
Northwestern Medicine Physicians Network 23550 837P
Northwestern Medicine Physicians Network
Payer ID
23550
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 known as Methodist First Choice.
Northwestern Medicine Physicians Network 23550 837I
Northwestern Medicine Physicians Network
Payer ID
NWEST
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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For DOS 1/1/2021 and forward.
Northwestern Medicine Physicians Network NWEST 837P
Northwest Orange County
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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Northwest Orange County PROSP 835
North West Orange County Medical Group
Payer ID
PROSP
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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North West Orange County Medical Group PROSP 837P
North West Orange County Medical Group
Payer ID
PROSP
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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North West Orange County Medical Group PROSP 837I
Northwood Healthcare
Payer ID
NWOOD
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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Northwood Healthcare NWOOD 837P
Nova Healthcare Administrators, Inc.
Payer ID
16644
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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Grand Island, New York.
Nova Healthcare Administrators, Inc. 16644 835
Nova Healthcare Administrators, Inc.
Payer ID
16644
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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Grand Island, New York.
Nova Healthcare Administrators, Inc. 16644 837P
Nova Healthcare Administrators, Inc.
Payer ID
NOVAHLTH
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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Nova Healthcare Administrators, Inc. NOVAHLTH 270 / 271
Nova Saiph Re
Payer ID
J3881
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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Nova Saiph Re J3881 837P
Nova Saiph Re
Payer ID
J3881
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.
Nova Saiph Re J3881 835
Nova Saiph Re
Payer ID
J3881
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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Nova Saiph Re J3881 837I
NovaSys Health (Centene)
Payer ID
68069
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 forms will be listed under Centene Corporation.
NovaSys Health (Centene) 68069 835
NovaSys Health (Centene)
Payer ID
68069
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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NovaSys Health (Centene) 68069 837P
NovaSys Health (Centene)
Payer ID
68069
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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NovaSys Health (Centene) 68069 837I
NovaSys Health (Centene)
Payer ID
NOVASYS
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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NovaSys Health (Centene) NOVASYS 276 / 277
NovaSys Health (Centene)
Payer ID
NOVASYS
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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NovaSys Health (Centene) NOVASYS 270 / 271
NP PHP Commercial
Payer ID
PHMD1
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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NP PHP Commercial PHMD1 837P
NP PHP Medicare
Payer ID
PHMD2
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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NP PHP Medicare PHMD2 837P
NP PHP OHP
Payer ID
PHMD3
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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NP PHP OHP PHMD3 837P
NP Yamhill County CCO
Payer ID
PHMD4
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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NP Yamhill County CCO PHMD4 837P
NTCA - National Telecommunications Cooperative Association
Payer ID
52103
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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NTCA - National Telecommunications Cooperative Association 52103 837P
NTCA - National Telecommunications Cooperative Association
Payer ID
52103
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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NTCA - National Telecommunications Cooperative Association 52103 837I
Nuestra Familia Medical
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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Nuestra Familia Medical PROSP 835
Nuestra Familia Medical Group
Payer ID
PROSP
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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Nuestra Familia Medical Group PROSP 837P
Nuestra Familia Medical Group
Payer ID
PROSP
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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Nuestra Familia Medical Group PROSP 837I
N.W. Ironworkers Health & Security Trust Fund, Group # F15
Payer ID
91136
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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N.W. Ironworkers Health & Security Trust Fund, Group # F15 91136 837P
N.W. Ironworkers Health & Security Trust Fund, Group # F15
Payer ID
91136
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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N.W. Ironworkers Health & Security Trust Fund, Group # F15 91136 837I
N.W. Ironworkers Health & Security Trust Fund, Group # F15
Payer ID
91136
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 form under 'Welfare Pension Administration Services'
N.W. Ironworkers Health & Security Trust Fund, Group # F15 91136 835
Cleveland, OH. Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476
N.W. Textile Processors Group # F14 91136 837P
N.W. Textile Processors Group # F14
Payer ID
91136
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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Cleveland, OH. Now known as Meritain Health. Payer ID valid only for claims with billing submission address of P.O. Box 94928, Cleveland, OH 44101-4928 or P.O. Box 89476, Cleveland, OH 44101-5476
N.W. Textile Processors Group # F14 91136 837I
N.W. Textile Processors Group # F14
Payer ID
91136
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 form under 'Welfare Pension Administration Services'
N.W. Textile Processors Group # F14 91136 835
NX Health Network
Payer ID
44412
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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NX Health Network 44412 837P
NX Health Network
Payer ID
44412
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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NX Health Network 44412 837I
NXT IPA - Guidant
Payer ID
NXT01
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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NXT IPA - Guidant NXT01 837I
NXT IPA - Guidant
Payer ID
NXT01
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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NXT IPA - Guidant NXT01 837P
NYCE PPO Plan
Payer ID
26992
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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NYCE PPO Plan 26992 837I
NYCE PPO Plan
Payer ID
26992
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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NYCE PPO Plan 26992 837P
NYCE PPO Plan
Payer ID
26992
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 UMR (Wausau / UHIS), payer ID 39026.
NYCE PPO Plan 26992 835
NYC Law Department
Payer ID
J4253
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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NYC Law Department J4253 837P
NYC Law Department
Payer ID
J4253
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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NYC Law Department J4253 837I
Oak River Insurance Company (Member of BHHC)
Payer ID
20044
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. Covers CA, IL, LA, MN, NC, NJ, OR, TN, TX, VA.
Oak River Insurance Company (Member of BHHC) 20044 837P
Oasis IPA (Regal)
Payer ID
DESRT
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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Oasis IPA (Regal) DESRT 837I
Oasis IPA (Regal)
Payer ID
DESRT
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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Oasis IPA (Regal) DESRT 837P
Oceans Acquisition, Inc. - CORVEL
Payer ID
J3754
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.
Oceans Acquisition, Inc. - CORVEL J3754 837P
Oceans Acquisition, Inc. - CORVEL
Payer ID
J3754
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.
Oceans Acquisition, Inc. - CORVEL J3754 835
Oceans Acquisition, Inc. - CORVEL
Payer ID
J3754
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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Oceans Acquisition, Inc. - CORVEL J3754 837I
Ochsner Health Plan
Payer ID
A5236
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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Ochsner Health Plan A5236 835
Ochsner Health Plan
Payer ID
A5236
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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Ochsner Health Plan A5236 837I
Ochsner Health Plan
Payer ID
A5236
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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Ochsner Health Plan A5236 837P
Ochsner Health Plan
Payer ID
OCHSNER
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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Ochsner Health Plan OCHSNER 276 / 277
Ochsner Health Plan
Payer ID
OCHSNER
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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Ochsner Health Plan OCHSNER 270 / 271
Ogden Benefits Administration (EBC)
Payer ID
OBA16
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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Ogden Benefits Administration (EBC) OBA16 837P
Ogden Benefits Administration (EBC)
Payer ID
OBA16
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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Ogden Benefits Administration (EBC) OBA16 837I
Ogden Benefits Administration (EBC)
Payer ID
OBA16
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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Ogden Benefits Administration (EBC) OBA16 835
Ohana Health Plan
Payer ID
14163
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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Ohana Health Plan 14163 837I
Ohana Health Plan
Payer ID
14163
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 instructions can be found under WellCare Health Plan
Ohana Health Plan 14163 835
Ohana Health Plan
Payer ID
14163
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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Ohana Health Plan 14163 837P
Ohana Health Plan
Payer ID
OHANA
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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Ohana Health Plan OHANA 270 / 271
Ohio Casualty Insurance
Payer ID
24074
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.
Ohio Casualty Insurance 24074 837P
Ohio Casualty Insurance
Payer ID
24074
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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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.
Ohio Casualty Insurance 24074 835
Ohio Casualty Insurance
Payer ID
24074
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
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Ohio Casualty Insurance 24074 837I
Ohio Health Choice PPO
Payer ID
34189
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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ONLY for claims with a billing submission address of PO Box 3619, Akron, OH 44309-3619 or PO Box 93538.
Ohio Health Choice PPO 34189 837I
Ohio Health Choice PPO
Payer ID
34189
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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ONLY for claims with a billing submission address of PO Box 3619, Akron, OH 44309-3619 or PO Box 93538.
Ohio Health Choice PPO 34189 837P
OhioHealthy
Payer ID
48116
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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OhioHealthy 48116 837P
OhioHealthy
Payer ID
48116
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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OhioHealthy 48116 837I
Ohio PPO Connect
Payer ID
74431
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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Ohio PPO Connect 74431 837P
Ohio PPO Connect
Payer ID
74431
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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Ohio PPO Connect 74431 837I
Ohio PPO Connect
Payer ID
74431
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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Ohio PPO Connect 74431 835
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
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.
OhioRISE - Aetna Better Health of Ohio 45221 835
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
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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OhioRISE - Aetna Better Health of Ohio 45221 837P
OhioRISE - Aetna Better Health of Ohio
Payer ID
45221
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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OhioRISE - Aetna Better Health of Ohio 45221 837I
OhioRISE - Aetna Better Health of Ohio
Payer ID
AETNA-OHRISE
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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OhioRISE - Aetna Better Health of Ohio AETNA-OHRISE 270 / 271
Ohio Valley HMO Cincinnati
Payer ID
OVHC
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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Ohio Valley HMO Cincinnati OVHC 270 / 271
Ojai Valley Community Medical Group
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Ojai Valley Community Medical Group SVIPA 837P
Ojai Valley Community Medical Group
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Ojai Valley Community Medical Group SVIPA 837I
Ojai Valley Community Medical Group
Payer ID
SVIPA
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 will be listed under "McKesson Technologies Inc. (MED3000 CA)" within PaySpan (for ERA activation).
Ojai Valley Community Medical Group SVIPA 835
Oklahoma Complete Health (Centene)
Payer ID
68069
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 forms will be listed under Centene Corporation.
Oklahoma Complete Health (Centene) 68069 835
Oklahoma Complete Health (Centene)
Payer ID
68069
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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Oklahoma Complete Health (Centene) 68069 837I
Oklahoma Complete Health (Centene)
Payer ID
68069
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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Oklahoma Complete Health (Centene) 68069 837P
Oklahoma Complete Health (Centene)
Payer ID
OKLAHOMA-CH
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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Oklahoma Complete Health (Centene) OKLAHOMA-CH 276 / 277
Oklahoma Complete Health (Centene)
Payer ID
OKLAHOMA-CH
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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Oklahoma Complete Health (Centene) OKLAHOMA-CH 270 / 271
Oklahoma DRS DOC
Payer ID
71065
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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Effective 1/1/18.
Oklahoma DRS DOC 71065 837P
Oklahoma DRS DOC
Payer ID
71065
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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Effective 1/1/18.
Oklahoma DRS DOC 71065 837I
Oklahoma DRS DOC
Payer ID
71065
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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Effective 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Oklahoma DRS DOC 71065 835
Oklahoma DRS DOC
Payer ID
OKDOC
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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Oklahoma DRS DOC OKDOC 270 / 271
Old Republic Insurance Company
Payer ID
24147
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.
