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
Optum Care Network
Payer ID
OCN01
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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Previously Known as Health Care Partners California.
Optum Care Network OCN01 837I
Optum Care Network
Payer ID
OCN01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Previously Known as Health Care Partners California.
Optum Care Network OCN01 835
Optum Care Network - Empire Physicians MG
Payer ID
IP079
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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For DOS on/after January 1, 2017. All prior DOS should still be sent to Payer ID EMP01. The ERA enrollment form will be listed under North American Medical Management (NAMM).
Optum Care Network - Empire Physicians MG IP079 837P
Optum Care Network - Empire Physicians MG
Payer ID
IP079
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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For DOS on/after January 1, 2017. All prior DOS should still be sent to Payer ID EMP01. The ERA enrollment form will be listed under North American Medical Management (NAMM).
Optum Care Network - Empire Physicians MG IP079 837I
Optum Care Network - Empire Physicians MG
Payer ID
IP079
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
Hide note
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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Empire Physicians MG IP079 835
Optum Care Network - Primecare Medical Group
Payer ID
IP079
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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Optum Care Network - Primecare Medical Group IP079 837P
Optum Care Network - Primecare Medical Group
Payer ID
IP079
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Optum Care Network - Primecare Medical Group IP079 837I
Optum Care Network - Primecare Medical Group
Payer ID
IP079
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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The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network - Primecare Medical Group IP079 835
Optum Care Network – Inland Faculty Medical Group
Payer ID
MPM70
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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Effective 12/30/2024
Optum Care Network – Inland Faculty Medical Group MPM70 837P
Optum Care Network – Inland Faculty Medical Group
Payer ID
MPM70
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Effective 12/30/2024
Optum Care Network – Inland Faculty Medical Group MPM70 837I
Optum Care Network–Corona
Payer ID
IP079
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Optum Care Network–Corona IP079 837P
Optum Care Network–Corona
Payer ID
IP079
Payer ID
Transaction
All
Institutional Claims
837I
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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View note
Hide note
Optum Care Network–Corona IP079 837I
Optum Care Network–Corona
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Corona IP079 835
Optum Care Network–Hemet Valley
Payer ID
IP079
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
Optum Care Network–Hemet Valley IP079 837P
Optum Care Network–Hemet Valley
Payer ID
IP079
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
Optum Care Network–Hemet Valley IP079 837I
Optum Care Network–Hemet Valley
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Hemet Valley IP079 835
Optum Care Network–Inland Valley
Payer ID
IP079
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
Optum Care Network–Inland Valley IP079 837P
Optum Care Network–Inland Valley
Payer ID
IP079
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
Optum Care Network–Inland Valley IP079 837I
Optum Care Network–Inland Valley
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Inland Valley IP079 835
Optum Care Network–Moreno Valley
Payer ID
IP079
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
Optum Care Network–Moreno Valley IP079 837P
Optum Care Network–Moreno Valley
Payer ID
IP079
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
Optum Care Network–Moreno Valley IP079 837I
Optum Care Network–Moreno Valley
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Moreno Valley IP079 835
Optum Care Network–Redlands
Payer ID
IP079
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
Optum Care Network–Redlands IP079 837P
Optum Care Network–Redlands
Payer ID
IP079
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
Optum Care Network–Redlands IP079 837I
Optum Care Network–Redlands
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Redlands IP079 835
Optum Care Network–Riverside
Payer ID
IP079
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
Optum Care Network–Riverside IP079 837P
Optum Care Network–Riverside
Payer ID
IP079
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
Optum Care Network–Riverside IP079 837I
Optum Care Network–Riverside
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Riverside IP079 835
Optum Care Network–Southwestern Valleys
Payer ID
IP079
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
Optum Care Network–Southwestern Valleys IP079 837P
Optum Care Network–Southwestern Valleys
Payer ID
IP079
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
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Southwestern Valleys
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Southwestern Valleys IP079 835
Optum Care Network–Sun City
Payer ID
IP079
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
Optum Care Network–Sun City IP079 837P
Optum Care Network–Sun City
Payer ID
IP079
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
Optum Care Network–Sun City IP079 837I
Optum Care Network–Sun City
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Sun City IP079 835
Optum Care Network–Valley Physicians
Payer ID
IP079
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
Optum Care Network–Valley Physicians IP079 837P
Optum Care Network–Valley Physicians
Payer ID
IP079
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
Optum Care Network–Valley Physicians IP079 837I
Optum Care Network–Valley Physicians
Payer ID
IP079
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
The ERA enrollment form will be listed under Optum Care Network (NAMM)
Optum Care Network–Valley Physicians IP079 835
Optum Maryland Behavioral Health
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
Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Optum Maryland Behavioral Health OMDBH 837P
Optum Maryland Behavioral Health
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
Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Optum Maryland Behavioral Health OMDBH 837I
Optum Maryland Behavioral Health
Payer ID
OMDBH
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
Use Payer ID OMDBH for claim submissions before 12/22/24. For submissions on or after 12/22/24, use Payer ID BHOMD.
Optum Maryland Behavioral Health OMDBH 835
Optum MedicalRx
Payer ID
ORXM1
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
Optum MedicalRx ORXM1 837P
Optum San Diego Public Sector
Payer ID
OSDPS
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
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Optum San Diego Public Sector OSDPS 837P
Optum Speciality
Payer ID
52133
Payer ID
Transaction
All
Dental Claims
837D
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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Optum Speciality 52133 837D
Optum United Health Behavioral Solutions
Payer ID
OPTUM-UNITED-BH
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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Hide note
Optum United Health Behavioral Solutions OPTUM-UNITED-BH 270 / 271
Optum – Complex Medical Conditions (CMC) (FKA OptumHealth)