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
Longevity NY
Payer ID
LNY01
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Longevity NY LNY01 835
MetLife New Jersey
Payer ID
C1100
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto only.
MetLife New Jersey C1100 837P
Mutual of Omaha Medicare Advantage
Payer ID
71412
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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Mutual of Omaha Medicare Advantage 71412 837P
Mutual of Omaha Medicare Advantage
Payer ID
71412
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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Mutual of Omaha Medicare Advantage 71412 837I
Mutual of Omaha Medicare Advantage
Payer ID
71412
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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ERA Enrollment is completed under payer code 71412
Mutual of Omaha Medicare Advantage 71412 835
OSF Healthcare Central
Payer ID
OSFC9
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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OSF Healthcare Central OSFC9 837P
OSF Healthcare Central
Payer ID
OSFC9
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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OSF Healthcare Central OSFC9 837I
OSF Healthcare East
Payer ID
OSFE9
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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OSF Healthcare East OSFE9 837P
OSF Healthcare East
Payer ID
OSFE9
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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OSF Healthcare East OSFE9 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
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.
Provider Partners Health Plan of Illinois 31401 837P
Provider Partners Health Plan of Illinois
Payer ID
31401
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 returns ERA's automatically once electronic claim submission begins.
Provider Partners Health Plan of Illinois 31401 837I
Provider Partners Health Plan of Illinois
Payer ID
31401
Payer ID
Transaction
All
Remits
835
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
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Provider Partners Health Plan of Illinois 31401 835
State Auto Mutual Insurance Company
Payer ID
J1966
Payer ID
Transaction
All
Professional Claims
837P
Support
Available
Non Par
Non-participating payer
Enrollment
Enrollment required
Secondary
Secondary
WC / Auto
Auto
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Auto Only. At this time, only Professional (HCFA) claims are accepted.
State Auto Mutual Insurance Company J1966 837P
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837P
University of Maryland Health Advantage
Payer ID
45282
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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University of Maryland Health Advantage 45282 837I