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
PACE Center LTC
Payer ID
COLTC
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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PAYER ID REQUIRED.
PACE Center LTC COLTC 837I
PACE Greater New Orleans
Payer ID
21614
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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PACE Greater New Orleans 21614 837P
PACE Greater New Orleans
Payer ID
21614
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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PACE Greater New Orleans 21614 837I
PACE Southeast Michigan
Payer ID
86711
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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PACE Southeast Michigan 86711 837P
PACE Southeast Michigan
Payer ID
86711
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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PACE Southeast Michigan 86711 837I
PALMS Casino Resort (Admin by LIBERTY Dental Plan)
Payer ID
LDP19
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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PALMS Casino Resort (Admin by LIBERTY Dental Plan) LDP19 837D