All Available Payers with Office Ally Payer List

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.

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.

Enrollment for 66006 covers Illinois, Montana, New Mexico, Oklahoma, and Texas.

(Same form as BCBS North Carolina).

(Same form as BCBS North Carolina).

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

To activate ERA's, please contact BookMD.

To activate ERA's, please contact BookMD.

To activate ERA's, please contact BookMD.

Form listed under BMC HealthNet Plan.

Encounter submissions ONLY.

Encounter submissions ONLY.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted

ERA enrollment forms will be listed under Centene Corporation.

For DOS on or after 1/1/2022.

For DOS prior to 1/1/2022.

For DOS on or after 1/1/2022.

For DOS prior to 1/1/2022.

For DOS on or after 1/1/2022.

For DOS prior to 1/1/2022.

The ERA enrollment form will be listed under "MemorialCare".

The ERA enrollment form will be listed under "MemorialCare".

The ERA enrollment form will be listed under "MemorialCare".

Auto Only. At this time, only Professional (HCFA) claims are accepted.

Auto Only. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

ERA enrollment under Conifer Health Solutions.

ERA enrollment under Conifer Health Solutions.

ERA enrollment under Conifer Health Solutions.

Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.

Workers Comp and Auto.

Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.

Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.

ERA enrollment forms will be listed under Centene Corporation.

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.