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.
Payer Name
Payer ID
Transaction
Available
Non Par
Enrollment
Secondary
WC / Auto
NOTES
BCBS Wyoming
Payer ID
00960
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BCBS Wyoming 00960 837P
BCBS Wyoming
Payer ID
00960
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BCBS Wyoming 00960 837I
BCBS Wyoming
Payer ID
00960
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BCBS Wyoming 00960 835
BCBS Wyoming
Payer ID
53767
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BCBS Wyoming 53767 276 / 277
BCBS Wyoming
Payer ID
53767
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BCBS Wyoming 53767 Blue Cross Blue Shield 270 / 271
BCBSMN Blue Plus Medicaid
Payer ID
00726
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
(Former Payer ID 00562)
BCBSMN Blue Plus Medicaid 00726 Blue Cross Blue Shield 837P
BCBSMN Blue Plus Medicaid
Payer ID
00726
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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View note
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(Former Payer ID 00562)
BCBSMN Blue Plus Medicaid 00726 Blue Cross Blue Shield 837I
BCBSMN Blue Plus Medicaid
Payer ID
00726
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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View note
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(Former Payer ID 00562)
BCBSMN Blue Plus Medicaid 00726 Blue Cross Blue Shield 835
BCBSMN Blue Plus Medicaid
Payer ID
BCBSMN-BPM
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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BCBSMN Blue Plus Medicaid BCBSMN-BPM 270 / 271
BCN - NON JVHL Network - JVHL
Payer ID
22770
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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BCN - NON JVHL Network - JVHL 22770 837P
BIENVIVIR
Payer ID
BSHS1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BIENVIVIR BSHS1 837P
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BMC HealthNet Plan 13337 837P
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BMC HealthNet Plan 13337 837I
BMC HealthNet Plan
Payer ID
13337
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BMC HealthNet Plan 13337 835
BMW North America
Payer ID
J1259
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
BMW North America J1259 837P
BS California
Payer ID
BS001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California BS001 837P
BS California
Payer ID
BS001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California BS001 837I
BS California
Payer ID
BS001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California BS001 835
BS California
Payer ID
940360524
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California 940360524 276 / 277
BS California
Payer ID
940360524
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California 940360524 270 / 271
BS California - FEP
Payer ID
BS001
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California - FEP BS001 837P
BS California - FEP
Payer ID
BS001
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California - FEP BS001 837I
BS California - FEP
Payer ID
BS001
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS California - FEP BS001 835
BS California Promise Health Plan
Payer ID
C1SCA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 837P
BS California Promise Health Plan
Payer ID
C1SCA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 837I
BS California Promise Health Plan
Payer ID
C1SCA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Previously Care1st Health Plan of California.
BS California Promise Health Plan C1SCA 835
BS California Promise Health Plan Encounters
Payer ID
EC1CA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Reach out to the payer prior to submitting claims. (800) 468-9935
BS California Promise Health Plan Encounters EC1CA 837P
BS California Promise Health Plan Encounters
Payer ID
EC1CA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Reach out to the payer prior to submitting claims. (800) 468-9935
BS California Promise Health Plan Encounters EC1CA 837I
BS Idaho (Regence)
Payer ID
00611
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS Idaho (Regence) 00611 276 / 277
BS Idaho (Regence)
Payer ID
00611
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS Idaho (Regence) 00611 270 / 271
BS Northeastern New York
Payer ID
00800
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Not the same as Empire BCBS.
BS Northeastern New York 00800 837P
BS Northeastern New York
Payer ID
00800
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Not the same as Empire BCBS.
BS Northeastern New York 00800 837I
BS Northeastern New York
Payer ID
00800
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Not the same as Empire BCBS.
BS Northeastern New York 00800 835
BS Northeastern New York
Payer ID
BSNY-NE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS Northeastern New York BSNY-NE 270 / 271
BS Pennsylvania (Camp Hill)
Payer ID
99996
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Provider will need to register with them and inform them that EDI Health group is their clearinghouse 800-633-5430 opt 0)
BS Pennsylvania (Camp Hill) 99996 837D
BS Washington (Regence)
Payer ID
00932
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS Washington (Regence) 00932 276 / 277
BS Washington (Regence)
Payer ID
00932
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BS Washington (Regence) 00932 270 / 271
BSI Companies
Payer ID
25916
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BSI Companies 25916 837P
BSI Companies
Payer ID
25916
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BSI Companies 25916 837I
BadgerCare Plus (CCHP)
Payer ID
251CC
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BadgerCare Plus (CCHP) 251CC 837P
BadgerCare Plus (CCHP)
Payer ID
251CC
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BadgerCare Plus (CCHP) 251CC 837I
BadgerCare Plus (CCHP)
Payer ID
251CC
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
BadgerCare Plus (CCHP) 251CC 835
Bakersfield Family Medical Center (BFMC) (Regal)
Payer ID
BKRFM
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Bakersfield Family Medical Center (BFMC) (Regal) BKRFM 837P
Bakersfield Family Medical Center (BFMC) (Regal)
Payer ID
BKRFM
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Bakersfield Family Medical Center (BFMC) (Regal) BKRFM 837I
Bakersfield Family Medical Center (BFMC) (Regal)
Payer ID
BKRFM
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Email :providerrelations@bfmc.com and Call 661-616-9379 in order receive ERAs.
Bakersfield Family Medical Center (BFMC) (Regal) BKRFM 835
Bakery and Confectionery Union and Industry International Health
Payer ID
BCTF1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Bakery and Confectionery Union and Industry International Health BCTF1 837P
Bakery and Confectionery Union and Industry International Health
Payer ID
BCTF1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Bakery and Confectionery Union and Industry International Health BCTF1 837I
Balance Staffing Workforce
Payer ID
J3844
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Balance Staffing Workforce J3844 837P
Baldwin & Lyons, Inc. (Previous Name Protective Insurance Co) - CORVEL
Payer ID
J2301
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Baldwin & Lyons, Inc. (Previous Name Protective Insurance Co) - CORVEL J2301 837P
Bank of America - CORVEL
Payer ID
J1729
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
Workers Comp and Auto.
Bank of America - CORVEL J1729 837P
Bankers Fidelity Life Insurance Company
Payer ID
BANKERS
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Bankers Fidelity Life Insurance Company BANKERS 270 / 271
Bankers Life (ERA Only)
Payer ID
30152
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
This payer ID is for ERAS only.
Bankers Life (ERA Only) 30152 835
Bankers Life and Casualty
Payer ID
BANKERS-LAC
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Bankers Life and Casualty BANKERS-LAC 270 / 271
Bankers Reserve/Wellcare
Payer ID
AM-INS-BANK
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Bankers Reserve/Wellcare AM-INS-BANK 270 / 271
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual
Payer ID
09830
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual 09830 837P
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual
Payer ID
09830
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual 09830 837I
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual
Payer ID
09830
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
Banner - University Family Care / AHCCCS Complete Care (B- UFC/ACC) and Banner Medicare Advantage Dual 09830 835
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS)
Payer ID
66901
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS) 66901 837P
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS)
Payer ID
66901
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS) 66901 837I
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS)
Payer ID
66901
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
Banner - University Family Care/ Arizona Long Term Care System (B-UFC/ALTCS) 66901 835
Banner Health
Payer ID
BANNER-HLTH
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health BANNER-HLTH 270 / 271
Banner Health (Healthnet Senior)
Payer ID
BANNER-HNSR
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health (Healthnet Senior) BANNER-HNSR 270 / 271
Banner Health (UHC Medicare Advantage)
Payer ID
BANNER-UHCMA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health (UHC Medicare Advantage) BANNER-UHCMA 270 / 271
Banner Health and Aetna Health Insurance Company
Payer ID
67895
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health and Aetna Health Insurance Company 67895 837P
Banner Health and Aetna Health Insurance Company
Payer ID
67895
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health and Aetna Health Insurance Company 67895 837I
Banner Health and Aetna Health Insurance Company
Payer ID
BANNER-AETNA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Health and Aetna Health Insurance Company BANNER-AETNA 270 / 271
Banner Medicare Advantage Plus PPO
Payer ID
84324
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Banner Medicare Advantage Plus PPO 84324 837P
Banner Medicare Advantage Plus PPO
Payer ID
84324
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
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Banner Medicare Advantage Plus PPO 84324 837I
Banner Medicare Advantage Plus PPO
Payer ID
84324
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
Banner Medicare Advantage Plus PPO 84324 835
Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Banner Medicare Advantage Prime HMO 84323 837P
Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Banner Medicare Advantage Prime HMO 84323 837I
Banner Medicare Advantage Prime HMO
Payer ID
84323
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
Banner Medicare Advantage Prime HMO 84323 835
Banner Plan Administration (Choice Plus and Select 500)
Payer ID
BANNER-PACPS5
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Banner Plan Administration (Choice Plus and Select 500) BANNER-PACPS5 270 / 271
Banner University Family Care
Payer ID
BANNER-UNIV
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Banner University Family Care BANNER-UNIV 270 / 271
Banner University Family Care/ALTCS
Payer ID
66901
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Find the ERA Instructions under 'Banner University Care LTC' in the enrollment form library.
