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
Medi-Cal (California Medicaid)
Payer ID
MC051
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
Medi-Cal (California Medicaid) MC051 837I
Medi-Cal (California Medicaid)
Payer ID
MC051
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
Medi-Cal (California Medicaid) MC051 835
Medi-Cal Dental
Payer ID
94146
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
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Hide note
Medi-Cal Dental 94146 837D
Medi-Cal UB Type 02 (Long-Term Care)
Payer ID
MC052
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 ID Required.
Medi-Cal UB Type 02 (Long-Term Care) MC052 837I
Medi-Cal UB Type 03 (Inpatient)
Payer ID
MC053
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 ID Required.
Medi-Cal UB Type 03 (Inpatient) MC053 837I
MediChoice IPA
Payer ID
AMM11
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
MediChoice IPA AMM11 837P
MediChoice IPA
Payer ID
AMM11
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
MediChoice IPA AMM11 837I
MediShare (Christian Care Ministries)
Payer ID
59355
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
Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electronically.
MediShare (Christian Care Ministries) 59355 837P
MediShare (Christian Care Ministries)
Payer ID
59355
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
Providers should check the member ID card and use the Household ID value as the member ID when submitting claims electronically.
MediShare (Christian Care Ministries) 59355 837I
Medica
Payer ID
94265
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
Medica 94265 837P
Medica
Payer ID
94265
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
Medica 94265 837I
Medica
Payer ID
94265
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
Medica 94265 835
Medica
Payer ID
94265
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medica 94265 276 / 277
Medica
Payer ID
94265
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
Medica 94265 270 / 271
Medica Government Programs
Payer ID
MEDM1
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
Medica Government Programs MEDM1 837P
Medica Government Programs
Payer ID
MEDM1
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
Medica Government Programs MEDM1 837I
Medica Government Programs
Payer ID
MEDM1
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
Medica Government Programs MEDM1 835
Medica Government Programs
Payer ID
MEDICA-GOV
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
Medica Government Programs MEDICA-GOV 270 / 271
Medica Health Plan Solutions
Payer ID
71890
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
Medica Health Plan Solutions 71890 837P
Medica Health Plan Solutions
Payer ID
71890
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
Medica Health Plan Solutions 71890 837I
Medica Health Plan Solutions
Payer ID
71890
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
Medica Health Plan Solutions 71890 835
Medica Health Plan Solutions
Payer ID
71890
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
Medica Health Plan Solutions 71890 270 / 271
Medica HealthCare Plan of Florida
Payer ID
78857
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
Medica HealthCare Plan of Florida 78857 837P
Medica HealthCare Plan of Florida
Payer ID
78857
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
Medica HealthCare Plan of Florida 78857 837I
Medica HealthCare Plan of Florida
Payer ID
78857
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
Medica HealthCare Plan of Florida 78857 835
Medica HealthCare Plan of Florida
Payer ID
78857
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
Medica HealthCare Plan of Florida 78857 270 / 271
Medica Individual and Family (IFB)
Payer ID
MEDICA-IFB
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
Medica Individual and Family (IFB) MEDICA-IFB 270 / 271
Medica2
Payer ID
12422
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
Medica2 payer is effective 1/1/2014. All claims prior to 1/1/14 will be rejected.
Medica2 12422 837P
Medica2
Payer ID
12422
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
Medica2 payer is effective 1/1/2014. All claims prior to 1/1/14 will be rejected.
Medica2 12422 837I
Medica2
Payer ID
12422
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
Medica2 12422 270 / 271
Medicaid Alabama
Payer ID
MCDAL
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
Medicaid Alabama MCDAL 837P
Medicaid Alabama
Payer ID
MCDAL
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
Medicaid Alabama MCDAL 837I
Medicaid Alabama
Payer ID
MCDAL
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
Medicaid Alabama MCDAL 835
Medicaid Alabama
Payer ID
ALMCD
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
Medicaid Alabama ALMCD 270 / 271
Medicaid Alaska
Payer ID
MCDAK
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
Medicaid Alaska MCDAK 837P
Medicaid Alaska
Payer ID
MCDAK
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
Medicaid Alaska MCDAK 835
Medicaid Alaska
Payer ID
13094
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
A pass through fee of $0.06 applies to this transaction
Medicaid Alaska 13094 270 / 271
Medicaid Arizona
Payer ID
MCDAZ
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
Medicaid Arizona MCDAZ 837P
Medicaid Arizona
Payer ID
MCDAZ
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
Medicaid Arizona MCDAZ 837I
Medicaid Arizona
Payer ID
MCDAZ
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
Medicaid Arizona MCDAZ 835
Medicaid Arizona
Payer ID
10057
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
Medicaid Arizona 10057 270 / 271
Medicaid Arkansas
Payer ID
MCDAR
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
Medicaid Arkansas MCDAR 837P
Medicaid Arkansas
Payer ID
MCDAR
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
Medicaid Arkansas MCDAR 837I
Medicaid Arkansas
Payer ID
MCDAR
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
Medicaid Arkansas MCDAR 835
Medicaid Arkansas
Payer ID
ARMCD
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Arkansas ARMCD 276 / 277
Medicaid Arkansas
Payer ID
ARMCD
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
Medicaid Arkansas ARMCD 270 / 271
Medicaid Colorado
Payer ID
77016
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
Medicaid Colorado 77016 837P
Medicaid Colorado
Payer ID
77016
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
Medicaid Colorado 77016 837I
Medicaid Colorado
Payer ID
77016
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
Medicaid Colorado 77016 835
Medicaid Colorado
Payer ID
COMCD
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
Medicaid Colorado COMCD 276 / 277
Medicaid Colorado
Payer ID
COMCD
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
Medicaid Colorado COMCD 270 / 271
Medicaid Connecticut
Payer ID
MCDCT
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
Medicaid Connecticut MCDCT 837P
Medicaid Connecticut
Payer ID
MCDCT
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
Medicaid Connecticut MCDCT 835
Medicaid Connecticut
Payer ID
10165
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
Medicaid Connecticut 10165 270 / 271
Medicaid Delaware
Payer ID
MCDDE
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
Medicaid Delaware MCDDE 837P
Medicaid Delaware
Payer ID
MCDDE
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
Medicaid Delaware MCDDE 837I
Medicaid Delaware
Payer ID
MCDDE
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
Medicaid Delaware MCDDE 835
Medicaid Delaware
Payer ID
DEMCD
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
Medicaid Delaware DEMCD 270 / 271
Medicaid District of Columbia
Payer ID
77033
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
Medicaid District of Columbia 77033 837P
Medicaid District of Columbia
Payer ID
77033
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
Medicaid District of Columbia 77033 835
Medicaid District of Columbia
Payer ID
10209
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
A pass through few of $0.0325 applies to this transaction
Medicaid District of Columbia 10209 270 / 271
Medicaid Florida
Payer ID
77027
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
Medicaid Florida 77027 837P
Medicaid Florida
Payer ID
77027
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
Medicaid Florida 77027 837I
Medicaid Florida
Payer ID
77027
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
Medicaid Florida 77027 835
Medicaid Florida
Payer ID
FLMCD
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
View note
Hide note
A pass through few of $0.04 applies to this transaction
Medicaid Florida FLMCD 276 / 277
Medicaid Florida
Payer ID
FLMCD
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
A pass through few of $0.04 applies to this transaction
Medicaid Florida FLMCD 270 / 271
Medicaid Georgia
Payer ID
77034
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 no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
Medicaid Georgia 77034 837P
Medicaid Georgia
Payer ID
77034
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 no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
Medicaid Georgia 77034 837I
Medicaid Georgia
Payer ID
77034
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 no longer accepts PAPER claims. When submitting Secondary (COB) claims electronically, you'll need to fax a copy of the EOB to Medicaid Georgia at (866) 483-1044.
