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
Mirra Healthcare
Payer ID
RP106
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
Mirra Healthcare RP106 837I
Mission Community IPA
Payer ID
PHM10
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 Mission Community IPA claims effective 10-1-11.
Mission Community IPA PHM10 837P
Mission Heritage Medical Group
Payer ID
STJOE
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
Mission Heritage Medical Group STJOE 837P
Mission Heritage Medical Group
Payer ID
STJOE
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
Mission Heritage Medical Group STJOE 837I
Mission Hospital Affiliated Physicians
Payer ID
STJOE
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
Mission Hospital Affiliated Physicians STJOE 837P
Mission Hospital Affiliated Physicians
Payer ID
STJOE
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
Mission Hospital Affiliated Physicians STJOE 837I
Mississippi Children's Health Insurance Program
Payer ID
MSCHILDHP
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
Mississippi Children's Health Insurance Program MSCHILDHP 270 / 271
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
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
Mississippi Department Of Corrections - CORVEL J3328 837P
Mississippi Department Of Corrections - CORVEL
Payer ID
J3328
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
View note
Hide note
View note
Hide note
Payer returns ERA automatically.
Mississippi Department Of Corrections - CORVEL J3328 835
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
Payer ID
37233
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
Mississippi Public Entity Employee Benefit Trust (MPEEBT) 37233 837P
Mississippi Public Entity Employee Benefit Trust (MPEEBT)
Payer ID
37233
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
Mississippi Public Entity Employee Benefit Trust (MPEEBT) 37233 835
Mississippi Select Health Care
Payer ID
64088
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
Gulfport, MS.
Mississippi Select Health Care 64088 837P
Mississippi Select Health Care
Payer ID
64088
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
Gulfport, MS.
Mississippi Select Health Care 64088 837I
Mississippi Select Health Care
Payer ID
64088
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
Gulfport, MS.
Mississippi Select Health Care 64088 835
Missoula County Medical Benefits Plan
Payer ID
37275
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
Missoula County Medical Benefits Plan 37275 837P
Missoula County Medical Benefits Plan
Payer ID
37275
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
Missoula County Medical Benefits Plan 37275 837I
Missouri Health Plan (Community & State)
Payer ID
MOHPCS
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
Missouri Health Plan (Community & State) MOHPCS 270 / 271
Missouri Medicare Select
Payer ID
MMS01
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 returns ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 837P
Missouri Medicare Select
Payer ID
MMS01
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 returns ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 837I
Missouri Medicare Select
Payer ID
MMS01
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 returns ERA's automatically once electronic claim submission begins.
Missouri Medicare Select MMS01 835
Mitsui Sumitomo Insurance Group
Payer ID
J1692
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. At this time, only Professional (HCFA) claims are accepted.
Mitsui Sumitomo Insurance Group J1692 837P
Mitsui Sumitomo Insurance USA Inc.
Payer ID
J1694
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. At this time, only Professional (HCFA) claims are accepted.
Mitsui Sumitomo Insurance USA Inc. J1694 837P
Mobilitas Insurance Company
Payer ID
J4092
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Payer returns ERA automatically - no enrollment required.
Mobilitas Insurance Company J4092 837P
Mobilitas Insurance Company
Payer ID
J4092
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
View note
Hide note
View note
Hide note
Payer returns ERA automatically - no enrollment required.
Mobilitas Insurance Company J4092 835
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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
Moda Health (Formerly ODS Health Plan) 13350 837P
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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
Moda Health (Formerly ODS Health Plan) 13350 837I
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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
Moda Health (Formerly ODS Health Plan) 13350 835
Moda Health (Formerly ODS Health Plan)
Payer ID
13350
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
Moda Health (Formerly ODS Health Plan) 13350 270 / 271
Molina Complete Care of Arizona
Payer ID
MLNA-CCAZ
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
Molina Complete Care of Arizona MLNA-CCAZ 270 / 271
Molina Complete Care of Virginia
Payer ID
MCC02
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
Molina Complete Care of Virginia MCC02 837P
Molina Complete Care of Virginia
Payer ID
MCC02
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
Molina Complete Care of Virginia MCC02 837I
Molina Complete Care of Virginia
Payer ID
MCC02
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
Enrollment completed under 'Molina Healthcare'
Molina Complete Care of Virginia MCC02 835
Molina Complete Care of Virginia
Payer ID
MLNA-CCVA
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
Molina Complete Care of Virginia MLNA-CCVA 270 / 271
Molina Complete Care of Virginia - Encounters
Payer ID
10101
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
Molina Complete Care of Virginia - Encounters 10101 837P
Molina Complete Care of Virginia - Encounters
Payer ID
10101
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
Molina Complete Care of Virginia - Encounters 10101 837I
Molina Health Care of New Mexico
Payer ID
SCNNM
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
Molina Health Care of New Mexico SCNNM 837D
Molina Health Care of Ohio
Payer ID
SCNMO
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
Molina Health Care of Ohio SCNMO 837D
Molina Healthcare of 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
Molina Healthcare of Arizona MCC01 837P
Molina Healthcare of 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
Molina Healthcare of Arizona MCC01 837I
Molina Healthcare of Arizona
Payer ID
MCC01
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Arizona MCC01 835
Molina Healthcare of CA Encounters
Payer ID
33373
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
Encounters ONLY.
Molina Healthcare of CA Encounters 33373 837P
Molina Healthcare of CA Encounters
Payer ID
33373
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
Encounters ONLY.
Molina Healthcare of CA Encounters 33373 837I
Molina Healthcare of California
Payer ID
38333
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
Molina Healthcare of California 38333 837P
Molina Healthcare of California
Payer ID
38333
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
Molina Healthcare of California 38333 837I
Molina Healthcare of California
Payer ID
38333
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of California 38333 835
Molina Healthcare of California
Payer ID
00222
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
Molina Healthcare of California 00222 276 / 277
Molina Healthcare of California
Payer ID
00222
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
Molina Healthcare of California 00222 270 / 271
Molina Healthcare of Florida
Payer ID
51062
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
Molina Healthcare of Florida 51062 837P
Molina Healthcare of Florida
Payer ID
51062
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
Molina Healthcare of Florida 51062 837I
Molina Healthcare of Florida
Payer ID
51062
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Florida 51062 835
Molina Healthcare of Florida
Payer ID
MLNA-FL
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
Molina Healthcare of Florida MLNA-FL 270 / 271
Molina Healthcare of Florida
Payer ID
MLNFA
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
Molina Healthcare of Florida MLNFA 270 / 271
Molina Healthcare of Florida - Encounters
Payer ID
00513
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
Molina Healthcare of Florida - Encounters 00513 837P
Molina Healthcare of Florida - Encounters
Payer ID
00513
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
Molina Healthcare of Florida - Encounters 00513 837I
Molina Healthcare of Idaho
Payer ID
61799
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
Molina Healthcare of Idaho 61799 837P
Molina Healthcare of Idaho
Payer ID
61799
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
Molina Healthcare of Idaho 61799 837I
Molina Healthcare of Idaho
Payer ID
61799
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Idaho 61799 835
Molina Healthcare of Idaho
Payer ID
MLNA-ID
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
Molina Healthcare of Idaho MLNA-ID 270 / 271
Molina Healthcare of Illinois
Payer ID
20934
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
Molina Healthcare of Illinois 20934 837P
Molina Healthcare of Illinois
Payer ID
20934
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
Molina Healthcare of Illinois 20934 837I
Molina Healthcare of Illinois
Payer ID
20934
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Illinois 20934 835
Molina Healthcare of Illinois
Payer ID
13178
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
Molina Healthcare of Illinois 13178 270 / 271
Molina Healthcare of Iowa
Payer ID
MLNIA
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
Molina Healthcare of Iowa MLNIA 837P
Molina Healthcare of Iowa
Payer ID
MLNIA
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
Molina Healthcare of Iowa MLNIA 837I
Molina Healthcare of Iowa
Payer ID
MLNIA
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Iowa MLNIA 835
Molina Healthcare of Michigan
Payer ID
38334
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
Molina Healthcare of Michigan 38334 837P
Molina Healthcare of Michigan
Payer ID
38334
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
Molina Healthcare of Michigan 38334 837I
Molina Healthcare of Michigan
Payer ID
38334
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
Enrollment completed under 'Molina Healthcare'
Molina Healthcare of Michigan 38334 835
Molina Healthcare of Michigan
Payer ID
MLNA-MI
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
Molina Healthcare of Michigan MLNA-MI 270 / 271
Molina Healthcare of Michigan
Payer ID
MLNMI
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
Molina Healthcare of Michigan MLNMI 270 / 271
Molina Healthcare of Mississippi
Payer ID
77010
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
Molina Healthcare of Mississippi 77010 837P
Molina Healthcare of Mississippi
Payer ID
77010
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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Molina Healthcare of Mississippi 77010 837I
Molina Healthcare of Mississippi
Payer ID
77010
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 completed under 'Molina Healthcare'
Molina Healthcare of Mississippi 77010 835
Molina Healthcare of Mississippi
Payer ID
MLNA-MS
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of Mississippi MLNA-MS 276 / 277
Molina Healthcare of Mississippi
Payer ID
MLNA-MS
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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Molina Healthcare of Mississippi MLNA-MS 270 / 271
Molina Healthcare of Mississippi Marketplace
Payer ID
MLNA-MS-MKT
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of Mississippi Marketplace MLNA-MS-MKT 276 / 277
Molina Healthcare of Mississippi Marketplace
Payer ID
MLNA-MS-MKT
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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Molina Healthcare of Mississippi Marketplace MLNA-MS-MKT 270 / 271
Molina Healthcare of Missouri
Payer ID
MLNA-MO
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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Molina Healthcare of Missouri MLNA-MO 270 / 271
Molina Healthcare of Nebraska
Payer ID
MLNNE
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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Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837P
Molina Healthcare of Nebraska
Payer ID
MLNNE
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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Claim DOS on or after 1/1/24
Molina Healthcare of Nebraska MLNNE 837I
Molina Healthcare of Nebraska
Payer ID
MLNNE
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 completed under 'Molina Healthcare'
Molina Healthcare of Nebraska MLNNE 835
Molina Healthcare of Nebraska
Payer ID
MLNA-NE
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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Molina Healthcare of Nebraska MLNA-NE 270 / 271
Molina Healthcare of Nevada
Payer ID
MLNNV
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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Molina Healthcare of Nevada MLNNV 837P
Molina Healthcare of Nevada
Payer ID
MLNNV
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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Molina Healthcare of Nevada MLNNV 837I
Molina Healthcare of Nevada
Payer ID
MLNNV
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 completed under 'Molina Healthcare'
Molina Healthcare of Nevada MLNNV 835
Molina Healthcare of Nevada
Payer ID
MLNA-NV
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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Molina Healthcare of Nevada MLNA-NV 270 / 271
Molina Healthcare of New Mexico
Payer ID
NM505
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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Molina Healthcare of New Mexico NM505 837P
Molina Healthcare of New Mexico
Payer ID
04423
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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Molina Healthcare of New Mexico 04423 837I
Molina Healthcare of New Mexico
Payer ID
NM505
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of New Mexico NM505 835
Molina Healthcare of New Mexico
Payer ID
04423
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of New Mexico 04423 835
Molina Healthcare of New Mexico
Payer ID
00071
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of New Mexico 00071 276 / 277
Molina Healthcare of New Mexico
Payer ID
10486
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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Molina Healthcare of New Mexico 10486 270 / 271
Molina Healthcare of New Mexico - Salud
Payer ID
09824
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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Molina Healthcare of New Mexico - Salud 09824 837P
Molina Healthcare of New Mexico - Salud
Payer ID
09824
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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Molina Healthcare of New Mexico - Salud 09824 837I
Molina Healthcare of New Mexico - Salud
Payer ID
09824
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Molina Healthcare of New Mexico - Salud 09824 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
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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Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837P
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
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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Former Payer ID TCARE
Molina Healthcare of New York (formerly Total Care) 16146 837I
Molina Healthcare of New York (formerly Total Care)
Payer ID
16146
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Former Payer ID TCARE Enrollment completed under 'Molina Healthcare'
Molina Healthcare of New York (formerly Total Care) 16146 835
Molina Healthcare of New York (formerly Total Care)
Payer ID
MLNA-NY
Payer ID
Transaction
All
Eligibility
270 / 271
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Molina Healthcare of New York (formerly Total Care) MLNA-NY 270 / 271
