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
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
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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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 837I
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG)
Payer ID
SC004
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Independent Physicians, Sutter Medical Group, Sutter West Medical Group (SIP/SMG/SWMG) SC004 835
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837P
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
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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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 837I
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN)
Payer ID
SC008
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Claims/Encounters
Sutter Connect - Sutter Medical Group of the Redwoods, Santa Rosa Network (SMGR/SRN) SC008 835
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837P
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
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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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 837I
Sutter Connect – East Bay Region Hospitals – Non Sutter Groups
Payer ID
SC052
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Sutter Connect – East Bay Region Hospitals – Non Sutter Groups SC052 835
Sutter East Bay Medical Foundation
Payer ID
SC020
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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Sutter East Bay Medical Foundation SC020 837P
Sutter East Bay Medical Foundation
Payer ID
SC020
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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Sutter East Bay Medical Foundation SC020 837I
Sutter East Bay Medical Foundation
Payer ID
SC020
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Sutter East Bay Medical Foundation SC020 835
Sutter Health
Payer ID
J1512
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp
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Workers Comp Only.
Sutter Health J1512 837P
Sutter Health Plus
Payer ID
SUTTERHP
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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Sutter Health Plus SUTTERHP 270 / 271
Sutter Select
Payer ID
SUTTERSLCT
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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Sutter Select SUTTERSLCT 270 / 271
Sutter Senior Care
Payer ID
SC028
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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Sutter Senior Care SC028 837P
Sutter Senior Care
Payer ID
SC028
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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Sutter Senior Care SC028 837I
Sutter Senior Care
Payer ID
SC028
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Sutter Senior Care SC028 835
Sutter and Aetna Insurance Company
Payer ID
SUTT-AETNA
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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Sutter and Aetna Insurance Company SUTT-AETNA 270 / 271
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837P
Swift Glass Corporation (UCS)
Payer ID
07040
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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Swift Glass Corporation (UCS) 07040 837I
Syngenta Corporation
Payer ID
J1972
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Work Comp & Auto
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Workers Comp and Auto. At this time, only Professional (HCFA) claims are accepted.
TML IRP - Texas Municipal League - Intergovernmental
Payer ID
A0245
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
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Workers Comp Only. 835’s are automatic. At this time, only Professional (HCFA) claims are accepted.
TML IRP - Texas Municipal League - Intergovernmental A0245 837P
TRIAD HEALTHCARE INC
Payer ID
39181
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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TRIAD HEALTHCARE INC 39181 837P
TRUSTMARK
Payer ID
TRUST
Payer ID
Transaction
All
Claim Status
276 / 277
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
View note
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TRUSTMARK TRUST 276 / 277
TRUSTMARK
Payer ID
TRUST
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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Dental Only
TRUSTMARK TRUST 270 / 271
TSRDP Dental Claims
Payer ID
73288
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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TSRDP Dental Claims 73288 837D
Tailored Brands Inc. - CORVEL
Payer ID
J3764
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
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Workers Comp and Auto.
Tailored Brands Inc. - CORVEL J3764 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837P
TakeCare Insurance Company
Payer ID
98022
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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EDI enrollment form under Payer Enrollment Forms - All or Multiple States.
TakeCare Insurance Company 98022 837I
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837P
Tall Tree Administrators
Payer ID
88067
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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Tall Tree Administrators 88067 837I
Tawa Services, Inc. - CORVEL
Payer ID
J3750
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
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Workers Comp and Auto.
Tawa Services, Inc. - CORVEL J3750 837P
Taylor Benefit Resource
Payer ID
TAYLR
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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Taylor Benefit Resource TAYLR 837P
Taylor Benefit Resource
Payer ID
TAYLR
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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Taylor Benefit Resource TAYLR 835
Teal Premier
Payer ID
88300
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
Teal Premier 88300 837P
Teal Premier
Payer ID
88300
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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Teal Premier 88300 837I
Team Choice PNS
Payer ID
75133
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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Team Choice PNS 75133 837P
Team Choice PNS
Payer ID
75133
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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Team Choice PNS 75133 837I
Team Choice PNS
Payer ID
TEAM-CHOICE-PNS
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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Team Choice PNS TEAM-CHOICE-PNS 270 / 271
Teamcare
Payer ID
36215
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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Teamcare 36215 837P
Teamster Construction Industry Welfare Trust
Payer ID
TEAM-CIWFT
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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Teamster Construction Industry Welfare Trust TEAM-CIWFT 270 / 271
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837P
Teamsters Miscellaneous Security Trust Fund - Northwest Administrators
Payer ID
NWADM
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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Teamsters Miscellaneous Security Trust Fund - Northwest Administrators NWADM 837I
Teamsters Welfare Trust
Payer ID
91131
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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Teamsters Welfare Trust 91131 837P
Teamsters Welfare Trust
Payer ID
91131
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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Teamsters Welfare Trust 91131 837I
Tech-Steel, Inc
Payer ID
74234
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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Tech-Steel, Inc 74234 837P
Technology Insurance Co
Payer ID
J1855
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
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Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.
Technology Insurance Co J1855 837P
Telamon
Payer ID
22483
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
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Telamon 22483 837P
Telamon
Payer ID
22483
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
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Telamon 22483 837I
Temecula Valley Medical Group
Payer ID
HCMG1
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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Please contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837P
Temecula Valley Medical Group
Payer ID
HCMG1
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
Please contact the payer (951-791-1111) prior to submitting claims electronically.
Temecula Valley Medical Group HCMG1 837I
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837P
TennCare Select/ BlueCare
Payer ID
00890
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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TennCare Select/ BlueCare 00890 837I
TennCare Select/ BlueCare
Payer ID
00890
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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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.
TennCare Select/ BlueCare 00890 835
Texan Plus
Payer ID
60601
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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Texan Plus 60601 837D
TexanPlus of Texas (Houston)
Payer ID
HPN11
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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TexanPlus of Texas (Houston) HPN11 837P
TexanPlus of Texas (Houston)
Payer ID
HPN11
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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TexanPlus of Texas (Houston) HPN11 837I
Texas Association of School Boards
Payer ID
A0234
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
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View note
Hide note
Workers Comp Only. At this time, only Professional (HCFA) claims are accepted.