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
Medicaid Missouri - HealthNet
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
Medicaid Missouri - HealthNet CX014 837D
Medicaid Missouri - TrumanCare - Family Health Partners
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
Medicaid Missouri - TrumanCare - Family Health Partners CX014 837D
Medicaid Montana
Payer ID
MCDMT
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 Montana MCDMT 837P
Medicaid Montana
Payer ID
MCDMT
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 Montana MCDMT 835
Medicaid Montana
Payer ID
10491
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 Montana 10491 270 / 271
Medicaid Nebraska
Payer ID
MCDNE
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 Nebraska MCDNE 837P
Medicaid Nebraska
Payer ID
MCDNE
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 Nebraska MCDNE 835
Medicaid Nebraska
Payer ID
NEMCD
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 Nebraska NEMCD 270 / 271
Medicaid Nebraska - United HealthCare of the Midlands
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
Medicaid Nebraska - United HealthCare of the Midlands CX014 837D
Medicaid Nevada
Payer ID
MC008
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 Nevada MC008 837P
Medicaid Nevada
Payer ID
MC008
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 Nevada MC008 835
Medicaid Nevada
Payer ID
NVMCD
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 Nevada NVMCD 276 / 277
Medicaid Nevada
Payer ID
NVMCD
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 Nevada NVMCD 270 / 271
Medicaid New Hampshire
Payer ID
MCDNH
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 New Hampshire MCDNH 837P
Medicaid New Hampshire
Payer ID
MCDNH
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 New Hampshire MCDNH 835
Medicaid New Hampshire
Payer ID
10529
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 $0.0525 applies to this transaction
Medicaid New Hampshire 10529 270 / 271
Medicaid New Jersey
Payer ID
MCDNJ
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 New Jersey MCDNJ 837P
Medicaid New Jersey
Payer ID
MCDNJ
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 New Jersey MCDNJ 835
Medicaid New Jersey
Payer ID
NJMCD
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 New Jersey NJMCD 270 / 271
Medicaid New Mexico
Payer ID
NMMAD
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 New Mexico NMMAD 837P
Medicaid New Mexico
Payer ID
NMMAD
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 New Mexico NMMAD 835
Medicaid New Mexico
Payer ID
10531
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 $0.0525 applies to this transaction
Medicaid New Mexico 10531 270 / 271
Medicaid New Mexico - Cimmaron Health Plan
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
Medicaid New Mexico - Cimmaron Health Plan CX014 837D
Medicaid New Mexico - Lovelace Community Health Plan
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
Medicaid New Mexico - Lovelace Community Health Plan CX014 837D
Medicaid New Mexico - Presbyterian Salud
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
Medicaid New Mexico - Presbyterian Salud CX014 837D
Medicaid New York
Payer ID
MCDNY
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
Annual re-certification is required.
Medicaid New York MCDNY 837P
Medicaid New York
Payer ID
MCDNY
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
Annual re-certification is required.
Medicaid New York MCDNY 837I
Medicaid New York
Payer ID
MCDNY
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
Annual re-certification is required.
Medicaid New York MCDNY 835
Medicaid New York
Payer ID
NYMCD
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 New York NYMCD 276 / 277
Medicaid New York
Payer ID
NYMCD
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 New York NYMCD 270 / 271
Medicaid New York (Administrated by Americhoice)
Payer ID
86048
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
Medicaid New York (Administrated by Americhoice) 86048 837D
Medicaid North Carolina
Payer ID
NCXIX
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 North Carolina NCXIX 837P
Medicaid North Carolina
Payer ID
NCXIX
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 North Carolina NCXIX 837I
Medicaid North Carolina
Payer ID
NCXIX
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 North Carolina NCXIX 835
Medicaid North Carolina
Payer ID
NCMCD
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 North Carolina NCMCD 276 / 277
Medicaid North Carolina
Payer ID
NCMCD
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 North Carolina NCMCD 270 / 271
Medicaid North Dakota
Payer ID
MCDND
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 North Dakota MCDND 837P
Medicaid North Dakota
Payer ID
MCDND
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 North Dakota MCDND 835
Medicaid North Dakota
Payer ID
10541
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 North Dakota 10541 270 / 271
Medicaid Ohio
Payer ID
MCDOH
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 Ohio MCDOH 837P
Medicaid Ohio
Payer ID
MCDOH
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 Ohio MCDOH 835
Medicaid Ohio
Payer ID
OHMCD
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 Ohio OHMCD 270 / 271
Medicaid Ohio - Emerald HMO and Medicare, Inc.
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
Medicaid Ohio - Emerald HMO and Medicare, Inc. CX014 837D
Medicaid Ohio - Health Power HMO - Cincinnati
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
Medicaid Ohio - Health Power HMO - Cincinnati CX014 837D
Medicaid Ohio - Personal Physicians Care - Cleveland
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
Medicaid Ohio - Personal Physicians Care - Cleveland CX014 837D
Medicaid Ohio - United HealthCare, Inc. - Medicare Complete
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
Medicaid Ohio - United HealthCare, Inc. - Medicare Complete CX014 837D
Medicaid Oklahoma
Payer ID
MCDOK
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 Oklahoma MCDOK 837P
Medicaid Oklahoma
Payer ID
MCDOK
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 Oklahoma MCDOK 835
Medicaid Oklahoma
Payer ID
10557
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 $0.02 applies to this transaction
Medicaid Oklahoma 10557 270 / 271
Medicaid Oklahoma - Community Care
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
Medicaid Oklahoma - Community Care CX014 837D
Medicaid Oklahoma - Heartland Health Plan
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
Medicaid Oklahoma - Heartland Health Plan CX014 837D
Medicaid Oklahoma - Unicare Health Plan
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
Medicaid Oklahoma - Unicare Health Plan CX014 837D
Medicaid Oregon
Payer ID
ORDHS
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 Oregon ORDHS 837P
Medicaid Oregon
Payer ID
ORDHS
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 Oregon ORDHS 835
Medicaid Oregon
Payer ID
10573
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 Oregon 10573 270 / 271
Medicaid Pennsylvania
Payer ID
MCDPA
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 Pennsylvania MCDPA 837P
Medicaid Pennsylvania
Payer ID
MCDPA
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 Pennsylvania MCDPA 837I
Medicaid Pennsylvania
Payer ID
MCDPA
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 Pennsylvania MCDPA 835
Medicaid Pennsylvania
Payer ID
PAMCD
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 Pennsylvania PAMCD 270 / 271
Medicaid Pennsylvania (Administered by Americhoice)
Payer ID
86049
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
Medicaid Pennsylvania (Administered by Americhoice) 86049 837D
Medicaid Pennsylvania - Best Health Care - Pittsburgh
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
Medicaid Pennsylvania - Best Health Care - Pittsburgh CX014 837D
Medicaid Pennsylvania - Gateway Health Plan - Pittsburgh
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
Medicaid Pennsylvania - Gateway Health Plan - Pittsburgh CX014 837D
Medicaid Pennsylvania - Health Partners - Philadelphia
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
Medicaid Pennsylvania - Health Partners - Philadelphia CX014 837D
Medicaid Pennsylvania - Oaktree
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
Medicaid Pennsylvania - Oaktree CX014 837D
Medicaid Rhode Island
Payer ID
MCDRI
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 Rhode Island MCDRI 837P
Medicaid Rhode Island
Payer ID
MCDRI
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 Rhode Island MCDRI 835
Medicaid Rhode Island
Payer ID
RIMCD
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 Rhode Island RIMCD 270 / 271
Medicaid South Carolina
Payer ID
SCXIX
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 South Carolina SCXIX 837P
Medicaid South Carolina
Payer ID
SCXIX
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 South Carolina SCXIX 835
Medicaid South Carolina
Payer ID
SCMCD
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 South Carolina SCMCD 270 / 271
Medicaid South Dakota
Payer ID
MCDSD
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 South Dakota MCDSD 837P
Medicaid South Dakota
Payer ID
MCDSD
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 South Dakota MCDSD 835
Medicaid South Dakota
Payer ID
10695
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 South Dakota 10695 270 / 271
Medicaid Tennessee
Payer ID
TNMCD
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 Tennessee TNMCD 270 / 271
Medicaid Tennessee - BlueCare
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
Medicaid Tennessee - BlueCare CX014 837D
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Tennessee / TennCare 00890 837P
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Tennessee / TennCare 00890 837I
Medicaid Tennessee / TennCare
Payer ID
00890
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Enrollment Forms are the same as those for BCBS TN. Typically if enrolled with BCBS TN, the provider will not need to enroll for Medicaid TN/TennCare. Contact the payer directly to confirm if pre-enrollment is required.
Medicaid Tennessee / TennCare 00890 835
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas TMHP1 837P
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas TMHP1 837I
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas TMHP1 837D
Medicaid Texas
Payer ID
TMHP1
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas TMHP1 835
Medicaid Texas
Payer ID
10730
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A pass through few of $0.075 applies to this transaction
Medicaid Texas 10730 270 / 271
Medicaid Texas - Delta Dental
Payer ID
CPPTM
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas - Delta Dental CPPTM 837D
Medicaid Texas - MCNA
Payer ID
MCNA1
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Texas - MCNA MCNA1 837D
Medicaid Texas and Texas Health Steps
Payer ID
TXMCD-THS
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A pass through few of $0.075 applies to this transaction
Medicaid Texas and Texas Health Steps TXMCD-THS 270 / 271
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 837P
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 837I
Medicaid Utah
Payer ID
SKUT0
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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A UHIN pass through few applies to this transaction. Secondary claims: If Medicare is the primary, please use payer ID U4005.
Medicaid Utah SKUT0 835
Medicaid Utah
Payer ID
UTMCD
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Medicaid Utah UTMCD 270 / 271
Medicaid Utah Crossovers
Payer ID
U4005
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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A UHIN pass through few applies to this transaction.
