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
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
MacNeal Health Providers - CHS 36334 835
Maestro Health
Payer ID
MAESTRO
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Maestro Health MAESTRO 270 / 271
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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
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 837P
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
WC / Auto
View note
Hide note
View note
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 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
WC / Auto
View note
Hide note
View note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Magnacare 10867 270 / 271
Magnolia Health
Payer ID
MAGNOLIA
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Magnolia Health 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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Managed Health Services - WI State Employees CX014 837D
Managed Health Services Indiana
Payer ID
MHSIN
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Managed Health Services Indiana MHSIN 270 / 271
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
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 Wisconsin (Centene)
Payer ID
68069
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
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
WC / Auto
View note
Hide note
View note
Hide note
Managed Health Services Wisconsin (Centene) MHSWI 270 / 271
Managed Healthcare Associates
Payer ID
36312
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Managed Healthcare Associates 36312 837P
Manhattan Life
Payer ID
MANLIFE
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Manhattan Life MANLIFE 270 / 271
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
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
March Vision Care 52461 837P
Maricopa Care Advantage
Payer ID
09908
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Care Advantage 09908 837P
Maricopa Care Advantage
Payer ID
09908
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Care Advantage 09908 837I
Maricopa Care Advantage
Payer ID
09908
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
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Care Advantage 09908 835
Maricopa Care Advantage
Payer ID
MARICOPA-ADV
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Maricopa Care Advantage MARICOPA-ADV 270 / 271
Maricopa Health Plan (UAHP)
Payer ID
09908
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Health Plan (UAHP) 09908 837P
Maricopa Health Plan (UAHP)
Payer ID
09908
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Health Plan (UAHP) 09908 837I
Maricopa Health Plan (UAHP)
Payer ID
09908
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
Hide note
See University of Arizona Health Plans ERA enrollment form.
Maricopa Health Plan (UAHP) 09908 835
Marpai
Payer ID
35245
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Marpai MARPAI 270 / 271
Marrick Medical Finance, LLC
Payer ID
20805
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Marrick Medical Finance, LLC 20805 837P
Marrick Medical Finance, LLC
Payer ID
20805
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Marrick Medical Finance, LLC 20805 837I
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
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
WC / Auto
View note
Hide note
View note
Hide note
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
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Maryland Healthy Smiles - DHMH SCNMH 837D
Maryland Physicians Care
Payer ID
22348
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Maryland Physicians Care 22348 837P
Maryland Physicians Care
Payer ID
22348
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Maryland Physicians Care 22348 837I
Maryland Physicians Care
Payer ID
22348
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
Hide note
Maryland Physicians Care 22348 835
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
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
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
WC / Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Maryland Physicians Care MCO CX014 837D
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
WC / Auto
Work Comp & Auto
View note
Hide note
View note
Hide note
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
WC / Auto
View note
Hide note
View note
Hide note
Live as of 1/1/2020.
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
WC / Auto
View note
Hide note
View note
Hide note
Live as of 1/1/2020.
Maryland’s Medicaid Public Behavioral Health System OMDBH 837I
