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
attachment
WC / Auto
NOTES
Magellan HIA-CA
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
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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 HIA-CA 01260 837I
Magellan HIA-CA
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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Hide note
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 HIA-CA 01260 835
MagnaCare
Payer ID
11303
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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MagnaCare 11303 837P
MagnaCare
Payer ID
11303
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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MagnaCare 11303 837I
MagnaCare
Payer ID
11303
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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MagnaCare 11303 835
MagnaCare - Oscar Network
Payer ID
11303
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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MagnaCare - Oscar Network 11303 837P
MagnaCare - Oscar Network
Payer ID
11303
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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MagnaCare - Oscar Network 11303 837I
Magnacare
Payer ID
10867
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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Magnacare 10867 270 / 271
Magnolia Health (Centene)
Payer ID
MAGNOLIA
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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Magnolia Health (Centene) MAGNOLIA 270 / 271
Magnolia Health Plan (Centene)
Payer ID
68069
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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Magnolia Health Plan (Centene) 68069 837P
Magnolia Health Plan (Centene)
Payer ID
68069
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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Magnolia Health Plan (Centene) 68069 837I
Magnolia Health Plan (Centene)
Payer ID
68069
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 forms will be listed under Centene Corporation.
Magnolia Health Plan (Centene) 68069 835
Maine Community Health Options
Payer ID
45341
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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Maine Community Health Options 45341 837P
Maine Community Health Options
Payer ID
45341
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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Maine Community Health Options 45341 837I
Maine Community Health Options
Payer ID
45341
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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Maine Community Health Options 45341 835
Maine Community Health Options
Payer ID
ME-COMMUNITY-HEALTH
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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Maine Community Health Options ME-COMMUNITY-HEALTH 270 / 271
Major League Baseball 8
Payer ID
J1082
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.
Major League Baseball 8 J1082 837P
Managed Care Services
Payer ID
35162
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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Managed Care Services 35162 837P
Managed Care Systems
Payer ID
MCS03
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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Managed Care Systems MCS03 837P
Managed Care Systems
Payer ID
MCS03
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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Managed Care Systems MCS03 837I
Managed Care Systems
Payer ID
MCS03
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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Managed Care Systems MCS03 835
Managed Care of America
Payer ID
MCOA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Managed Care of America MCOA 270 / 271
Managed Care of North America (Florida)
Payer ID
65030
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Managed Care of North America (Florida) 65030 837D
Managed Care of North America (Kentucky)
Payer ID
CX091
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Managed Care of North America (Kentucky) CX091 837D
Managed DentalGuard
Payer ID
GI813
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Managed DentalGuard GI813 837D
Managed Health Network (MHN)
Payer ID
22771
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
Hide note
View note
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Managed Health Network (MHN) 22771 837P
Managed Health Network (MHN)
Payer ID
22771
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
Hide note
View note
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Managed Health Network (MHN) 22771 837I
Managed Health Network (MHN)
Payer ID
22771
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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Providers must enroll for "Health Net CA and OR" (Payer ID 95567) in order to receive ERAs for MHN
Managed Health Network (MHN) 22771 835
Managed Health Network (MHN)
Payer ID
MHN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Managed Health Network (MHN) MHN 270 / 271
Managed Health Services - WI State Employees
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Managed Health Services - WI State Employees CX014 837D
Managed Health Services Indiana (Centene)
Payer ID
68069
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
Hide note
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Managed Health Services Indiana (Centene) 68069 837P
Managed Health Services Indiana (Centene)
Payer ID
68069
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
Hide note
View note
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Managed Health Services Indiana (Centene) 68069 837I
Managed Health Services Indiana (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Managed Health Services Indiana (Centene) 68069 835
Managed Health Services Indiana (Centene)
Payer ID
MHSIN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Managed Health Services Indiana (Centene) MHSIN 270 / 271
Managed Health Services Wisconsin (Centene)
Payer ID
68069
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
Hide note
View note
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Managed Health Services Wisconsin (Centene) 68069 837P
Managed Health Services Wisconsin (Centene)
Payer ID
68069
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
Hide note
View note
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Managed Health Services Wisconsin (Centene) 68069 837I
Managed Health Services Wisconsin (Centene)
Payer ID
68069
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Centene Corporation.
Managed Health Services Wisconsin (Centene) 68069 835
Managed Health Services Wisconsin (Centene)
Payer ID
MHSWI
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Managed Health Services Wisconsin (Centene) MHSWI 270 / 271
Manhattan Life Insurance & Annuity
Payer ID
28148
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
Hide note
View note
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Manhattan Life Insurance & Annuity 28148 837P
Manhattan Life Insurance & Annuity
Payer ID
28148
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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Manhattan Life Insurance & Annuity 28148 837I
Mansfield I.S.D.
Payer ID
J3945
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
View note
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Workers Comp only.
Mansfield I.S.D. J3945 837P
March Vision Care
Payer ID
52461
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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View note
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March Vision Care 52461 837P
Markel
Payer ID
J2321
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
View note
Hide note
View note
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Markel J2321 837P
Marpai
Payer ID
35245
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
Hide note
View note
Hide note
Marpai 35245 837P
Marpai
Payer ID
35245
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
Hide note
View note
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Marpai 35245 837I
Marpai
Payer ID
MARPAI
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
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Marpai MARPAI 270 / 271
Marrick Medical Finance, LLC
Payer ID
20805
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Marrick Medical Finance, LLC 20805 835
Martins Point Health Care
Payer ID
MPHC1
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
Hide note
View note
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Martins Point Health Care MPHC1 837P
Martins Point Health Care
Payer ID
MPHC1
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
Hide note
View note
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Martins Point Health Care MPHC1 837I
Martins Point Health Care
Payer ID
MPHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Martins Point Health Care MPHC1 835
Martins Point Health Care
Payer ID
MARTIN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Martins Point Health Care MARTIN 270 / 271
Martins Point US Family Health Plan
Payer ID
MPHC1
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
Hide note
View note
Hide note
Martins Point US Family Health Plan MPHC1 837P
Martins Point US Family Health Plan
Payer ID
MPHC1
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
Hide note
View note
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Martins Point US Family Health Plan MPHC1 837I
Martins Point US Family Health Plan
Payer ID
MPHC1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
Hide note
ERA enrollment forms will be listed under Martins Point Health Care
Martins Point US Family Health Plan MPHC1 835
Mary Washington Health Plan
Payer ID
83269
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
Hide note
View note
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Mary Washington Health Plan 83269 837P
Mary Washington Health Plan
Payer ID
83269
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
Hide note
View note
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Mary Washington Health Plan 83269 837I
Mary Washington Health Plan
Payer ID
MARYWHP
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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View note
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Mary Washington Health Plan MARYWHP 270 / 271
Maryland Healthy Smiles - DHMH
Payer ID
SCNMH
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Maryland Healthy Smiles - DHMH SCNMH 837D
Maryland Physicians Care
Payer ID
MD-PHYSICIANS-CARE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
Hide note
View note
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Maryland Physicians Care MD-PHYSICIANS-CARE 270 / 271
Maryland Physicians Care (MPC)
Payer ID
76498
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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View note
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For DOS 1/1/2021 and forward.
Maryland Physicians Care (MPC) 76498 837P
Maryland Physicians Care (MPC)
Payer ID
76498
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
Hide note
View note
Hide note
For DOS 1/1/2021 and forward.
Maryland Physicians Care (MPC) 76498 837I
Maryland Physicians Care (MPC)
Payer ID
76498
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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View note
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Maryland Physicians Care (MPC) 76498 835
Maryland Physicians Care MCO
Payer ID
CX014
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
Attachment
Available
WC / Auto
View note
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Maryland Physicians Care MCO CX014 837D
Maryland Public Behavioral Health System
Payer ID
BHOMD
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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Maryland Public Behavioral Health System BHOMD 837P
Maryland Public Behavioral Health System
Payer ID
BHOMD
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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Maryland Public Behavioral Health System BHOMD 837I
Maryland Uninsured Employers Fund - CORVEL
Payer ID
J3744
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
View note
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Workers Comp and Auto.
Maryland Uninsured Employers Fund - CORVEL J3744 837P
Maryland’s Medicaid Public Behavioral Health System
Payer ID
OMDBH
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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View note
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Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Maryland’s Medicaid Public Behavioral Health System OMDBH 837P
Maryland’s Medicaid Public Behavioral Health System
Payer ID
OMDBH
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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Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Maryland’s Medicaid Public Behavioral Health System OMDBH 837I
Maryland’s Medicaid Public Behavioral Health System
Payer ID
OMDBH
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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Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Maryland’s Medicaid Public Behavioral Health System OMDBH 835
Mashantucket Pequot Tribal Nation
Payer ID
37121
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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Mashantucket Pequot Tribal Nation 37121 837P
Mashantucket Pequot Tribal Nation
Payer ID
37121
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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Mashantucket Pequot Tribal Nation 37121 837I
Mashantucket Pequot Tribal Nation
Payer ID
37121
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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Mashantucket Pequot Tribal Nation 37121 835
Masonry Industry Trust
Payer ID
60230
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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Masonry Industry Trust 60230 837P
Masonry Industry Trust
Payer ID
60230
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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Masonry Industry Trust 60230 837I
Masonry Industry Trust
Payer ID
60230
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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Masonry Industry Trust 60230 835
Masonry Welfare Trust Fund
Payer ID
60230
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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Masonry Welfare Trust Fund 60230 837P
Masonry Welfare Trust Fund
Payer ID
60230
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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Masonry Welfare Trust Fund 60230 837I
Masonry Welfare Trust Fund
Payer ID
60230
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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Masonry Welfare Trust Fund 60230 835
Mass Advantage
Payer ID
86220
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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Mass Advantage 86220 837P
Mass Advantage
Payer ID
86220
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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Mass Advantage 86220 837I
Mass Advantage
Payer ID
MASSADV
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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Mass Advantage MASSADV 270 / 271
Mass General Brigham Health Plan
Payer ID
04293
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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Formerly known as Neighborhood Health Plan/Allways Health Plan
Mass General Brigham Health Plan 04293 837P
Mass General Brigham Health Plan
Payer ID
04293
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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Formerly known as Neighborhood Health Plan/Allways Health Plan
Mass General Brigham Health Plan 04293 837I
Mass General Brigham Health Plan
Payer ID
04293
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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Formerly known as Neighborhood Health Plan/Allways Health Plan
Mass General Brigham Health Plan 04293 835
Mass General Brigham Health Plan
Payer ID
ALLWAYS-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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Formally known as Allways Health Partners.
Mass General Brigham Health Plan ALLWAYS-HP 270 / 271
Massachusetts Bay Insurance Company - CORVEL
Payer ID
J1689
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.
Massachusetts Bay Insurance Company - CORVEL J1689 837P
Massachusetts Behavioral Health
Payer ID
BHOMA
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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Massachusetts Behavioral Health BHOMA 837P
Massachusetts Behavioral Health
Payer ID
BHOMA
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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Massachusetts Behavioral Health BHOMA 837I
Massachusetts Behavioral Health
Payer ID
MASS-BEHAVIORAL
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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Massachusetts Behavioral Health MASS-BEHAVIORAL 270 / 271
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Payer returns ERAs automatically once electronic claim submission begins. No enrollment needed.
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