All Available Payers with Office Ally Payer List

Lancaster, California.

For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.

For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.

For claims with DOS on or after 1/1/2015. When enrolling for 47181 ERAs, you must also enroll under 25169, 60550, 91741, and 45276.

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

For claims with DOS on or after 1/1/2015. (Listed as Highmark Health - Payer ID: 00257 on Echo ERA Enrollment)

Institutional claims are accepted, but only for DOS on/after 5/31/16.

Institutional claims are accepted, but only for DOS on/after 5/31/16.

Institutional claims are accepted, but only for DOS on/after 5/31/16.

Workers Comp and Auto.

Workers Comp and Auto.

Encounters Only. Payer ID Required.

Fee For Service Only. Payer ID Required.

Effective 1/1/2020.

Effective 1/1/2020.

Effective January 1, 2017.

Effective January 1, 2017.

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - Preferred).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).

Effective January 1, 2017 (DOS based), AMM is the new MSO for Dual Risk claims (HPMC - San Judas IPA).

Previous Payer ID AMM19.

Previous Payer ID AMM19.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

Now known as Prudent Medical Group. ERA enrollment under Conifer Health Solutions.

ERA enrollment forms will be listed under Centene Corporation.

TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.

TAR # required in Box 23 (HCFA) or 63 (UB). If submitting ANSI, Loop 2300 REF*G1.

PO Box 1860 Waterloo, IA 50704

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form. You must be credentialed with the payer in order to submit electronic claims.

If you haven't registered your NPI with Horizon, please visit www.HorizonBlue.com/Providers and complete the NPI Collections Form.

Workers Comp only.

Payer returns ERAs automatically.

Payer returns ERAs automatically.

Payer returns ERAs automatically.

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.

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

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

Workers Comp and Auto.

ERA enrollment form can be found under MVP Health Care

ERA enrollment form can be found under MVP Health Care

ERA enrollment form can be found under MVP Health Care