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
Blue Care Network Advantage of Michigan
Payer ID
00210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Enrollment is completed under BCBS Michigan
Blue Care Network Advantage of Michigan 00210 835
Blue Care Network Advantage of Michigan
Payer ID
00710
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
Enrollment is completed under BCBS Michigan
Blue Care Network Advantage of Michigan 00710 835
Blue Care Network of Michigan
Payer ID
00710
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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Blue Care Network of Michigan 00710 837P
Blue Care Network of Michigan
Payer ID
00210
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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Blue Care Network of Michigan 00210 837I
Blue Care Network of Michigan
Payer ID
00710
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
Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan 00710 835
Blue Care Network of Michigan
Payer ID
00210
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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Hide note
Enrollment is completed under BCBS Michigan
Blue Care Network of Michigan 00210 835
Blue Choice of South Carolina
Payer ID
00922
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Blue Choice of South Carolina 00922 837P
Blue Choice of South Carolina
Payer ID
00922
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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Blue Choice of South Carolina 00922 837I
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
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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Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 837P
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
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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Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 837I
Blue Cross (Cal-Optima - Medi-Cal)
Payer ID
BC001
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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Same as payer ID 47198.
Blue Cross (Cal-Optima - Medi-Cal) BC001 835
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
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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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837P
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
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
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Hide note
Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Provider Taxonomy Code required on all claims.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 837I
Blue Cross Community Centennial (BCBS NM)
Payer ID
MC721
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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Effective May 20, 2017 for claims that contain subscriber ID alpha prefix “YIF”. Enrollment completed under '00790'.
Blue Cross Community Centennial (BCBS NM) MC721 Blue Cross Blue Shield 835
Blue Cross Community Centennial (BCBS NM)
Payer ID
BCBS-COMMCENT
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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Blue Cross Community Centennial (BCBS NM) BCBS-COMMCENT 270 / 271
Blue Cross Community ICP / FHP
Payer ID
66005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 837P
Blue Cross Community ICP / FHP
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 837I
Blue Cross Community ICP / FHP
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community ICP / FHP 66005 835
Blue Cross Community MMAI
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837P
Blue Cross Community MMAI
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 837I
Blue Cross Community MMAI
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community MMAI 66005 835
Blue Cross Community Options of Illinois
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 837P
Blue Cross Community Options of Illinois
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 837I
Blue Cross Community Options of Illinois
Payer ID
66005
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
66005 is our version of Blue Cross Community Option's MCDIL Payer ID.
Blue Cross Community Options of Illinois 66005 835
Blue Cross Community Options of Illinois
Payer ID
MCDIL
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
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Hide note
Blue Cross Community Options of Illinois MCDIL 270 / 271
Blue Cross Complete of Michigan
Payer ID
32002
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 837P
Blue Cross Complete of Michigan
Payer ID
32002
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
ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 837I
Blue Cross Complete of Michigan
Payer ID
32002
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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Hide note
ERA Enrollment done under AmeriHealth Caritas.
Blue Cross Complete of Michigan 32002 835
Blue Cross Complete of Michigan
Payer ID
BCMI-COMPLETE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Blue Cross Complete of Michigan BCMI-COMPLETE 270 / 271
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
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
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Hide note
Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837P
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
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
Effective January 1, 2017 for claims that contain the following subscriber ID alpha prefixes: JLX, JYN, XOD, XOJ, YDJ, YDL, YDV, YID, YIJ, YUB, YUW, YUX, ZGD, ZGJ, or ZZT. Covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 837I
Blue Cross Medicare Advantage PPO/HMO
Payer ID
66006
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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Hide note
Enrollment for 66006 covers Illinois, Montana, New Mexico, Oklahoma, and Texas.
Blue Cross Medicare Advantage PPO/HMO 66006 835
Blue Medicare Advantage (Anthem)
Payer ID
BLUE-MA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Blue Medicare Advantage (Anthem) BLUE-MA 270 / 271
Blue Medicare of North Carolina
Payer ID
SB810
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
(Same form as BCBS North Carolina).
Blue Medicare of North Carolina SB810 837P
Blue Medicare of North Carolina
Payer ID
SB810
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
Blue Medicare of North Carolina SB810 837I
Blue Medicare of North Carolina
Payer ID
SB810
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
(Same form as BCBS North Carolina).
Blue Medicare of North Carolina SB810 835
Blue Shield of California (P.O. Box 272540)
Payer ID
BSCA3
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
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Hide note
Blue Shield of California (P.O. Box 272540) BSCA3 837D
Blue Shield of California (P.O. Box 272590)
Payer ID
BSCA1
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
Blue Shield of California (P.O. Box 272590) BSCA1 837D
BlueChoice HealthPlan South Carolina Medicaid
Payer ID
10121
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
BlueChoice HealthPlan South Carolina Medicaid 10121 270 / 271