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
Trustmark Small Business Benefits
Payer ID
TRUST-SBB
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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Trustmark Small Business Benefits TRUST-SBB 270 / 271
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837P
Tufts Health Plan
Payer ID
04298
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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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 837I
Tufts Health Plan
Payer ID
04298
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Providers must email Tufts at edi_operations@tufts-health.com prior to electronic claims submission to verify Provider ID/NPI.
Tufts Health Plan 04298 835
Tufts Health Plan
Payer ID
13568
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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Tufts Health Plan 13568 270 / 271
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 837P
Tufts Health Public Plan (Network Health)
Payer ID
04332
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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Tufts Health Public Plan (Network Health) 04332 837I
Tufts Health Public Plan (Network Health)
Payer ID
04332
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Tufts Health Public Plan (Network Health) 04332 835
Tufts Health Public Plan (Network Health)
Payer ID
NETHLTH
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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Tufts Health Public Plan (Network Health) NETHLTH 270 / 271
Twin City Fire Insurance Co.
Payer ID
C1040
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. At this time, only Professional (HCFA) claims are accepted.
Twin City Fire Insurance Co. C1040 837P
Tyson Foods Inc.
Payer ID
J1732
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. At this time, only Professional (HCFA) claims are accepted.
Tyson Foods Inc. J1732 837P
UC Davis Health System
Payer ID
UCDMG
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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Payer returns ERA's automatically once electronic claim submission begins.
UC Davis Health System UCDMG 837P
UC Davis Health System
Payer ID
UCDMG
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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Payer returns ERA's automatically once electronic claim submission begins.
UC Davis Health System UCDMG 837I
UC Davis Health System
Payer ID
UCDMG
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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Payer returns ERA's automatically once electronic claim submission begins.
UC Davis Health System UCDMG 835
UC Health Plan Administrators
Payer ID
89789
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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PO Box 21036 Eagan MN 55121
UC Health Plan Administrators 89789 837P
UC Health Plan Administrators
Payer ID
89789
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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PO Box 21036 Eagan MN 55121
UC Health Plan Administrators 89789 837I
UC Irvine
Payer ID
UCI01
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 for Dates of service 8/1/2019
UC Irvine UCI01 837P
UC Irvine
Payer ID
UCI01
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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Effective for Dates of service 8/1/2019
UC Irvine UCI01 837I
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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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The ERA enrollment form will be listed under "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 837P
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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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The ERA enrollment form will be listed under "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 837I
UC Irvine Health (MemorialCare)
Payer ID
MMFUC
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 "MemorialCare".
UC Irvine Health (MemorialCare) MMFUC 835
UCLA Medical Group
Payer ID
USMBP
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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Payer returns ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837P
UCLA Medical Group
Payer ID
USMBP
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 ERAs automatically once electronic claim submission begins.
UCLA Medical Group USMBP 837I
UCLA Medical Group
Payer ID
USMBP
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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Hide note
Payer returns ERAs automatically once electronic claim submission begins. Note: Payer does not return 835s for claims submitted by paper.
UCLA Medical Group USMBP 835
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837P
UCS (BASI: Air Design Heating & Cooling)
Payer ID
18763
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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UCS (BASI: Air Design Heating & Cooling) 18763 837I