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.
Same as payer ID MDXHI. ERA Enrollment under Conifer Health Solutions.
MDX Hawaii CAPMN 835
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 837P
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 837I
MDwise Health Indiana Plan (DOS on or After 1/1/2019)
Payer ID
3135M
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Health Indiana Plan (DOS on or After 1/1/2019) 3135M 835
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 837P
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 837I
MDwise Hoosier Healthwise (DOS on or after 1/1/2019))
Payer ID
3519M
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MDwise Hoosier Healthwise (DOS on or after 1/1/2019)) 3519M 835
MED3000 California
Payer ID
M3CA1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MED3000 California M3CA1 837P
MEMIC Casualty Company
Payer ID
14164
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
MEMIC Casualty Company 14164 837P
MEMIC Indemnity Company
Payer ID
11030
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Work Comp
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
MEMIC Indemnity Company 11030 837P
MHCC Luminare Health
Payer ID
35189
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MHCC Luminare Health 35189 837P
MHCC Luminare Health
Payer ID
35189
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MHCC Luminare Health 35189 837I
MIC General Insurance Corp.
Payer ID
C1028
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
MIC General Insurance Corp. C1028 837P
MIChild Michigan
Payer ID
MICHILD
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MIChild Michigan MICHILD 270 / 271
MMM Healthcare
Payer ID
L0210
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM Healthcare L0210 837P
MMM Healthcare
Payer ID
L0210
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM Healthcare L0210 837I
MMM Healthcare
Payer ID
L0210
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM Healthcare L0210 835
MMM Multi Health (Reform)
Payer ID
66065
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM Multi Health (Reform) 66065 835
MMM of Florida
Payer ID
MMMFL
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM of Florida MMMFL 837P
MMM of Florida
Payer ID
MMMFL
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM of Florida MMMFL 837I
MMM of Florida
Payer ID
MMMFL
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MMM of Florida MMMFL 835
MPLAN, Inc. - HealthCare Group
Payer ID
95444
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPLAN, Inc. - HealthCare Group 95444 837P
MPLAN, Inc. - HealthCare Group
Payer ID
95444
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPLAN, Inc. - HealthCare Group 95444 837I
MPLAN, Inc. - HealthCare Group
Payer ID
95444
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPLAN, Inc. - HealthCare Group 95444 835
MPM Prospect
Payer ID
MPM16
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPM Prospect MPM16 837P
MPM Prospect
Payer ID
MPM16
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPM Prospect MPM16 837I
MPMBA
Payer ID
IHS23
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPMBA IHS23 837P
MPMBA
Payer ID
IHS23
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MPMBA IHS23 837I
MRIPA - AllCare Health Plan
Payer ID
MRIPA
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MRIPA - AllCare Health Plan MRIPA 837P
MRIPA - AllCare Health Plan
Payer ID
MRIPA
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MRIPA - AllCare Health Plan MRIPA 837I
MRIPA - AllCare Health Plan
Payer ID
MRIPA
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MRIPA - AllCare Health Plan MRIPA 835
MSA Care Guard
Payer ID
20572
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MSA Care Guard 20572 837P
MSA Care Guard
Payer ID
20572
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MSA Care Guard 20572 837I
MVP - Ohio
Payer ID
38224
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP - Ohio 38224 837P
MVP - Ohio
Payer ID
38224
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP - Ohio 38224 837I
MVP - Ohio
Payer ID
MVP-OH
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP - Ohio MVP-OH 270 / 271
MVP Health Care (Mohawk Valley)
Payer ID
14165
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Care (Mohawk Valley) 14165 837P
MVP Health Care (Mohawk Valley)
Payer ID
14165
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Care (Mohawk Valley) 14165 837I
MVP Health Care (Mohawk Valley)
Payer ID
14165
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Care (Mohawk Valley) 14165 835
MVP Health Plan
Payer ID
MVP-HP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Plan MVP-HP 270 / 271
MVP Health Plan of New York
Payer ID
10500
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Plan of New York 10500 270 / 271
MVP Health Plan of New York - Child Health Plus
Payer ID
MVP-CHILD-PLUS
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MVP Health Plan of New York - Child Health Plus MVP-CHILD-PLUS 270 / 271
Mabuhay Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Mabuhay Medical Group CAPMN 837P
Mabuhay Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Mabuhay Medical Group CAPMN 837I
Mabuhay Medical Group
Payer ID
CAPMN
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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ERA enrollment under Conifer Health Solutions.
Mabuhay Medical Group CAPMN 835
MacNeal Health Providers - CHS
Payer ID
36334
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MacNeal Health Providers - CHS 36334 837P
MacNeal Health Providers - CHS
Payer ID
36334
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MacNeal Health Providers - CHS 36334 837I
MacNeal Health Providers - CHS
Payer ID
36334
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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MacNeal Health Providers - CHS 36334 835
Magellan Behavioral Health - Case Rate
Payer ID
01260
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health - Case Rate 01260 837P
Magellan Behavioral Health - Case Rate
Payer ID
01260
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health - Case Rate 01260 837I
Magellan Behavioral Health - Case Rate
Payer ID
01260
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health - Case Rate 01260 835
Magellan Behavioral Health Services
Payer ID
01260
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services 01260 837P
Magellan Behavioral Health Services
Payer ID
01260
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services 01260 837I
Magellan Behavioral Health Services
Payer ID
01260
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services 01260 835
Magellan Behavioral Health Services
Payer ID
11991
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Magellan Behavioral Health Services 11991 270 / 271
Magellan Behavioral Health Services (Medicaid NE)
Payer ID
01260
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid NE) 01260 837P
Magellan Behavioral Health Services (Medicaid NE)
Payer ID
01260
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid NE) 01260 837I
Magellan Behavioral Health Services (Medicaid NE)
Payer ID
01260
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid NE) 01260 835
Magellan Behavioral Health Services (Medicaid VA)
Payer ID
01260
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid VA) 01260 837P
Magellan Behavioral Health Services (Medicaid VA)
Payer ID
01260
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid VA) 01260 837I
Magellan Behavioral Health Services (Medicaid VA)
Payer ID
01260
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
Magellan Behavioral Health Services (Medicaid VA) 01260 835
Magellan Complete Care Arizona
Payer ID
MCC01
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Magellan Complete Care Arizona MCC01 837P
Magellan Complete Care Arizona
Payer ID
MCC01
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Magellan Complete Care Arizona MCC01 837I
Magellan Complete Care VA
Payer ID
MCCVA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
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Magellan Complete Care VA MCCVA 270 / 271
Magellan HIA-CA
Payer ID
01260
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
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Payer PO Box and Zip code Required, please find this on the insurance card or contact Magellan at (800) 450-7281. For DOS 12/1/13 and later.
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