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
Delta Dental of New York
Payer ID
11198
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of New York 11198 837D
Delta Dental of Oklahoma
Payer ID
DDPOK
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Oklahoma DDPOK 837D
Delta Dental of Pennsylvania
Payer ID
23166
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Pennsylvania 23166 837D
Delta Dental of Puerto Rico
Payer ID
66043
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Puerto Rico 66043 837D
Delta Dental of Rhode Island
Payer ID
05029
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Rhode Island 05029 837D
Delta Dental of South Carolina in Missouri
Payer ID
43091
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of South Carolina in Missouri 43091 837D
Delta Dental of South Dakota
Payer ID
54097
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of South Dakota 54097 837D
Delta Dental of Texas
Payer ID
DDTX1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Texas DDTX1 837D
Delta Dental of Virginia
Payer ID
54084
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Virginia 54084 837D
Delta Dental of WA
Payer ID
91062
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of WA 91062 837D
Delta Dental of Washington DC
Payer ID
52147
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Washington DC 52147 837D
Delta Dental of Washington State
Payer ID
91062
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Washington State 91062 837D
Delta Dental of West Virginia
Payer ID
31096
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of West Virginia 31096 837D
Delta Dental of Wisconsin
Payer ID
39069
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Wisconsin 39069 837D
Delta Dental of Wyoming
Payer ID
CDWY1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Delta Dental of Wyoming CDWY1 837D
Delta Health Systems
Payer ID
DHS01
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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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Delta Health Systems DHS01 837P
Delta Health Systems
Payer ID
DHS01
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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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Delta Health Systems DHS01 837I
Delta Health Systems
Payer ID
DHS01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient’s current healthcare ID card for the administrator of benefits and Payer ID.
Delta Health Systems DHS01 835
DeltaCare USA - Claims
Payer ID
DDCA2
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DeltaCare USA - Claims DDCA2 837D
DeltaCare USA - Encounters
Payer ID
DDCA3
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DeltaCare USA - Encounters DDCA3 837D
DentaQuest
Payer ID
04356
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DentaQuest 04356 837D
DentaQuest –Government
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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DentaQuest –Government CX014 837D
Dental Benefit Providers
Payer ID
52133
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dental Benefit Providers 52133 837D
Dental Choice Plan
Payer ID
86027
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dental Choice Plan 86027 837D
Dental Choice Plan Plus
Payer ID
86027
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dental Choice Plan Plus 86027 837D
Dental Health & Wellness
Payer ID
46278
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dental Health & Wellness 46278 837D
Dental Select
Payer ID
DSL01
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dental Select DSL01 837D
Dentegra
Payer ID
88888
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Dentegra 88888 837D
Denti-Cal
Payer ID
94146
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Denti-Cal 94146 837D
Denti-Cal DTI Encounter
Payer ID
DTCA7
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Denti-Cal DTI Encounter DTCA7 837D
Denver Health Medical Plan
Payer ID
84135
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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Denver Health Medical Plan 84135 837P
Denver Health Medical Plan
Payer ID
84135
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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Denver Health Medical Plan 84135 837I
Denver Health Medical Plan
Payer ID
84135
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Denver Health Medical Plan 84135 835
Denver Health Medical Plan
Payer ID
DENVER
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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Denver Health Medical Plan DENVER 270 / 271
Denver Health Medical Plan Inc.
Payer ID
65456
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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Denver Health Medical Plan Inc. 65456 837P
Denver Health Medical Plan Inc.
Payer ID
65456
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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Denver Health Medical Plan Inc. 65456 837I
Denver Health Medical Plan, In. - Medicare Choice
Payer ID
84131
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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Denver Health Medical Plan, In. - Medicare Choice 84131 837P
Denver Health Medical Plan, In. - Medicare Choice
Payer ID
84131
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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Denver Health Medical Plan, In. - Medicare Choice 84131 837I
Denver Health and Hospital Authority
Payer ID
84133
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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Denver Health and Hospital Authority 84133 837P
Denver Health and Hospital Authority
Payer ID
84133
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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Denver Health and Hospital Authority 84133 837I
Denver Health and Hospital Authority
Payer ID
84133
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Denver Health and Hospital Authority 84133 835
Department Rehabilitative Services - Oklahoma
Payer ID
71065
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 1/1/18.
Department Rehabilitative Services - Oklahoma 71065 837P
Department Rehabilitative Services - Oklahoma
Payer ID
71065
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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Effective 1/1/18.
Department Rehabilitative Services - Oklahoma 71065 837I
Department Rehabilitative Services - Oklahoma
Payer ID
71065
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 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department Rehabilitative Services - Oklahoma 71065 835
Department of Corrections - Oklahoma
Payer ID
71065
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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Effective 1/1/18.
Department of Corrections - Oklahoma 71065 837P
Department of Corrections - Oklahoma
Payer ID
71065
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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Effective 1/1/18.
Department of Corrections - Oklahoma 71065 837I
Department of Corrections - Oklahoma
Payer ID
71065
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 1/1/18. Providers wishing to receive ERAs for this payer ID must enroll under UMR (39026)
Department of Corrections - Oklahoma 71065 835
Department of Corrections - Oklahoma
Payer ID
DOCOK
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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Department of Corrections - Oklahoma DOCOK 270 / 271
Department of Social and Health Services (DSHS)
Payer ID
MC006
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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Department of Social and Health Services (DSHS) MC006 837P
Department of Social and Health Services (DSHS)
Payer ID
MC006
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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Department of Social and Health Services (DSHS) MC006 837I
Department of Social and Health Services (DSHS)
Payer ID
MC006
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Department of Social and Health Services (DSHS) MC006 837D
Department of Social and Health Services (DSHS)
Payer ID
MC006
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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Department of Social and Health Services (DSHS) MC006 835
Depositors Insurance Co
Payer ID
J1550
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Depositors Insurance Co J1550 837P
Deseret Mutual Benefit Administrators
Payer ID
SX105
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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A UHIN pass through few applies to this transaction.
Deseret Mutual Benefit Administrators SX105 837P
Deseret Mutual Benefit Administrators
Payer ID
SX105
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
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A UHIN pass through few applies to this transaction.