Office Ally updates payer list

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Office Ally has recently published the following information:

Effective September 1, 2017, the Payers listed below will have their Status Type updated to Non-Par. This update is not due to a change that this Payer has made recently, but rather because this Payer does not have a contract to reimburse Office Ally for the electronic claims transmissions that we send to them and therefore, we are updating their Status Types to reflect their true status.

No Provider action is required; there will not be any service disruption to claims or ERAs. Providers can continue to utilize Office Ally for their claims submissions to this Payer.

Important Notes

Status Types will change from C/P to G/NP:

  • This Status Type change could result in the $19.95 Non-Par fee being charged to your account if 50% or more of your total claim volume submitted through Office Ally during the month is for Non-Par Payers.
  • The Non-Par Claims Policy can be found in the Authorization Sheet here.

To download a copy of this list - click here

 

Questions? Please email: Support@OfficeAlly.com
or call 360-975-7000, option 1

 

Payer ID Payer Name
00243 MedStar Family Choice of MD
MedStar Physician Partners
Vestica Healthcare
00315 Thomas H. Cooper
00590 BCBS Florida
Florida Blue HMO
Health Options - Florida Blue
01066 American Healthcare Alliance
01508 Better Health
03440 Phoenix Health Plan
04218 Pan American Life Insurance Group
05003 Medicaid New Mexico - Presbyterian Salud
Presbyterian Salud (NM)
05047 Neighborhood Health Plan of Rhode Island
06102 Diversified Administration Corp
Diversified Group Brokerage/Healthplan Services
06541 County Care Health Plan
06607 Cardinal Innovations
Piedmont Behavioral Health
07205 Gilsbar Inc.
Healthplus of Louisiana
10010 Careworks
10525 Patient Advocates, LLC
11334 New York Network Management
12399 Physicians Health Plan of Northern Indiana
13265 Metro Plus Health Plan
13315 Insurance Design Administrators
13334 Affinity Health Care
13382 Orthonet-Uniformed Services Family Health
13383 Orthonet- Aetna
13407 Uniformed Services Family Health Plan
16117 RMSCO Inc
16644 Nova Healthcare Administrators
20270 Health Payment Systems Inc
20356 Health Exchange (Cerner Corp)
20488 Better Health of Florida
20553 Americas 1st Choice Health Plan of South Carolina
22248 Amerihealth Mercy Health Plan
CarePartners
Passport
22321 One Call Medical
22326 Horizon Mercy
Horizon NJ Health
Mercy Health Plan of NJ (Horizon Mercy)
22348 Maryland Physicians Care
22384 Administration Concepts Inc
22521 EDS Healthchoice
EGID - Employees Group Insurance Division
HealthChoice of Oklahoma
HP Administrative Services
OK State Employees & Educators EDS
OSEEGIB - Oklahoma State and Education Employees Group Ins Board
22603 NJ Carpernters Health Fund
23130 Fresenius Medical Care
23284 Keystone Mercy
23285 Select Health of South Carolina
23287 Intergroup Services Corporation
InterGroup Services PPO
25133 Advantra
Advantra Freedom
Altius Health Plan - Coventry
Care Management Resources (CMR)
Carelink Advantra
Carelink Health Plan
Carelink Medicaid
Carenet
Carpenters Hlth/Welf. Hazelwood,MO
Claims Administration Corporation (CAC)
Coventry Advantra (Texas, New Mexico, Arizona)
Coventry Health and Life – Oklahoma
Coventry Health and Life Insurance (Tennessee)
Coventry Health Care - Nevada
Coventry Health Care National Network
Coventry Health Care of Kansas, Inc. -Wichita
Coventry Healthcare
Coventry Healthcare of Delaware
Coventry Healthcare of Florida (Aetna Medicaid)
Coventry Healthcare of Georgia
Coventry Healthcare of Illinois
Coventry Healthcare of Indiana
Coventry Healthcare of Iowa
Coventry Healthcare of Kansas, Inc. - Kansas City
Coventry Healthcare of Louisiana
Coventry Healthcare of Missouri
Coventry Healthcare of Nebraska
Coventry Healthcare of the Carolinas
Coventry Medicaid Nebraska
Coventry Missouri
Coventry Nebraska Medicaid
Diamond Plan
Family Health Partners/MC + Missouri
First Health (PayerID 25133) (Coventry)
Foreign Service Benefit Plan
Group Health Plan (GHP)
Health America, Inc.
Health Assurance
Healthcare USA
Kansas City Advantra (Coventry)
Mailhandlers Benefit Plan
Mercy Managed Behavioral Health
Montana Health Co-op
Omnicare, A Coventry Health Plan
ORNDA Health D296Corp (First Health)+D312
PersonalCare
PHSIC
Preferre Plus of Kansas
Preferred Benefits Administrator
Preferred Health Systems Insurance Company (PHSIC)
Preferred Plus of Kansas
Rural Carrier Benefit Plan (Coventry)
Southern Health Services Inc.
University of Missouri
Vista Health Plan
WELLPATH
23342 QualCare, Inc.
25169 Gateway Health Plan
26054 ICare Health Options
26492 Florida True Health
27008 Health Systems International - ECOH
27094 Simply Health Care Plan
27357 AmeriHealth Caritas Louisiana
Louisiana Care (LACare)
28530 Secure Health Plans of Georgia, LLC
31048 Western Southern Financial Group (Cincinnati, OH)
31053 Individual Health Insurance Companies
State Farm Insurance Companies
31059 State Farm Property & Casualty
31127 Integra Group
31172 Innovante Benefit Administrator
31182 InnovAge
Total Community Care
31441 S & S Healthcare Strategies
31625 ElderPlan, Inc.
33036 Loma Linda Managed Care
Loma Linda University Healthcare - ManagedCare Claims
33373 Molina Healthcare of CA Encounters
33628 Mercy Maricopa Integrated Care
34136 JP Farley Corporation
34154 Chesterfield Technologies
34159 E-V Benefits Management, Inc (Columbus, OH)
Meritain (Cleveland address)
NABN (Cleveland, OH)
North American Benefits Network
34171 FrontPath Health Coalition
34189 Ohio Health Choice, PPO
34192 Antares Management Solutions
Benefit Services Inc.
Mutual Health Services
34196 Apex Benefit Services
35145 Highmark - Key Family
35161 Indiana ProHealth Network
35162 Managed Care Services, LLC
35174 QCA Health Plan
Qual Choice of Arkansas
QualChoice Health Insurance
35183 CoreSource OH
35198 Unified Group Services
United Group Services
35206 Encircle PPO
Encore Health Network
Signature Care Health Network
The Healthcare Group
36215 Central States Health & Welfare Funds
Teamcare
36331 Professional Benefit Administrators, Inc.
36334 MACNEAL HEALTH PROVIDERS - CHS
36338 Group Administrators Ltd.
36345 Physicians Care Network
36373 Prairie States Enterprises, Inc.
36396 Family Medical Network
Resurrection Health Care Preferred (RHCP)
37105 Hinsdale Physicians Healthcare
Sage Technologies
37116 St. Therese Physician Assoc.
37121 Mashantucket Pequot Tribal Nation
37217 Key Benefit Administrators
37227 CNIC Health Solutions
InterCare Health Plans
37242 Aultra Administrative Group
Professional Claims Management
37256 Mutual Assurance
37257 EMPLOYEE BENEFIT CON INC
37267 Loma Linda Default
Loma Linda University Adventist Health Sciences Center Employee Health Plan
Loma Linda University Adventist Health Sciences Centers
Loma Linda University Behavioral Medicine Center Employee Health Plan
Loma Linda University Dept of Risk Management
Loma Linda University Employee Health Plan
Loma Linda University Health Care Employee Health Plan
Loma Linda University Medical Center Employee Health Plan
Loma Linda University Medical Center Residents Health Plan
Loma Linda University Student Health Plan
37268 Prism Health Networks
Prism Network, Inc.
37275 Missoula County Medical Benefits Plan
37279 Insurance Administrator of America, Inc. (IAA)
37282 Select Benefit Administrators of America (WI)
37283 American Administrative
Gallagher Benefit Administrators, Inc/GBA
HealthSmart Benefit Solutions (formerly American Administrative/Gallagher Benefit)
Poly America Medical & Dental Benefits Plan
37284 TransChoice-Key Benefit Administrators
TransChoice-Key Benefit Administrators KBA
37287 Planned Administrators, Inc. (PAI)
37290 Health Services for Children with Special Needs
37301 Summit America Insurance Services, Inc.
37314 North Broward Hospital District
37331 Anthem OMHS
Right Choice Benefit Administrators
Self Insured Plans Inc
37363 ComPsych
37601 University of Illinois at Chicago Div of Specialized Care for Children
38217 Priority Health
38224 HAP/AHL/Curanet (MI)
Health Alliance Plan of Michigan
Medical Value Plan-MVP-OH
38232 McLaren
Meritain (Michigan address)
Weyco, Inc.
38238 Bass Administrators, Inc.
Benesys Inc.
Benesys-LHP Claims Unit
LHP Claims Unit
38259 Automated Benefit Services
38265 Administration Systems Research
Physicians Care
38308 Christian Brothers Services
38337 Upper Peninsula Health Plan (Medicaid)
38353 MedDirect
39065 ASSURANT HEALTH
Fortis Insurance Company
39065 Time Insurance
39081 Benefit Plan Administrators Co. (Eau Claire, WI)
Custom Benefit Administrators
39151 WEA Insurance Group
39167 Group Health Cooperative of South Central Wisconsin Claims
39168 Group Health Cooperative of South Central Wisconsin Encounters
39182 Insurance TPA
International Funding Limited
41041 Federated Mutual Health Insurance Company
41206 Ultra Benefits
42137 American Administrators (West Des Moines)
Select Benefit Administrators (Des Moines, Iowa)
TriStar (formerly Select Benefit Administrators)
42140 Centurion
42172 Puget Sound Health Partners Inc
Soundpath Health
43160 Corizon Inc
Correctional Medical Services, Inc.
43166 Mercy Health Plan
Premier Benefits Inc.
Premier Health Plans
43178 Benefit Management Inc - Joplin Claims
Joplin Claims
44273 Health Plans, Inc.
45281 Riverside Health Inc
University of Maryland Health Partners (UMHP)
45341 Maine Community Health Options
45423 Advicare
46050 Generations Globalhealth
Generations Healthcare
47027 Physicians Mutual Insurance Company
47080 Midlands Choice, Inc.
48026 Northshore Physician Associates
48100 ProviDRs Care Network
48117 CoreSource KC (FMH)
FMH Benefit Services, Inc.
50701 VGM Homelink
52123 Johns Hopkins Healthcare USFHP
52132 Cooperative Benefit Administrators (CBA)
National Rural Electric Cooperative Assoc.
52180 UMWA Health & Retirement Funds
52189 Johns Hopkins Healthcare
52629 UCare Minnesota
53589 BCBS Arizona
54154 Optima Health Plan
Optima Insurance Company
Sentara Family Care
Sentara Health Management
54763 AmeriHealth Administrators
Independence Administrators
56139 Benefit Management Services (NOT in LA)
Integra BMS
56144 Primary Physician Care Inc.
56190 OptiCare Managed Vision (Formerly known as Prime Vision Health)
Prime Vision Health
56196 First Carolina Care
56240 Detroit Medical Center
56731 Healthcare Resources NW
57080 ClaimsWare, Inc. dba ManageMed
CWIBENEFITS, INC.
57117 QVI Risk Solutions Inc
57254 State of Texas Dental Plan (GEHA)
58102 Covenant Administrators Inc Dental (Atlanta, GA)
58213 Alignis
Healthways WholeHealth Networks
58231 Core Administrative Services
Core Management Resources Group
58234 Alliant Health Plans of Georgia
58730 Aetna ASA PPO/Assurant Health (Signature Admin)
59140 Consolidated Group
Health Plan Services
Health Plan Services - Oklahoma
HealthPlan Services (Tampa only)
The Mutual Group
59143 Harrington Health Non-EPO
59266 Volusia Health Network
59299 Employers Mutual, Inc. EMI-KP (Ambulance)
59313 Evolutions Healthcare Systems (New Port Richey, FL)
59324 Podiatry Network Florida
59354 Wellcare Health Plans Encounters
60061 Amerihealth Non-HMO New Jersey (Highmark)
61102 Humana (Encounters only)
61124 Bluegrass Family Health
Signature Health Alliance
61425 STARMARK
Tooling and Manufacturing Assocation
Trustmark Insurance
62160 MedSolutions, Inc
62180 Health Choice Generations
62777 Trilogy Network
63100 Behavioral Health Systems
63103 American Behavioral
63114 Viva Health Plan
64157 Meritain Health (North American Health Plan.)
North American Administrators, Inc.
64158 Meritain Health / Agency Services
64246 Dental Guard Preferred
First Commonwealth HMO Dental Plan
Guardian Life (The Guardian)
64284 Independence Care Systems / FIDA-MMP
65031 CarePlus Health Plans
Physicians Healthcare Plans
65054 Premier Eye Care
65062 ATA Florida (American Therapy Association)
Health Network One (HN1 Therapy Network)
65101 AXA Assistance USA
HAA Preferred Partners
65391 CBHNP - HealthChoices
66055 Netcare Life and Health Insurance (Hagatna, Guam)
68039 Western Health Advantage
72126 Peoples Health Network
72467 ACS Benefit Services Inc.
73100 Kempton Group
73143 Community Care Managed Health Care Plans of Oklahoma
73145 Preferred Community Choice/PCCSelect/CompMed
73159 CCN Managed Care Inc. (now known as: First Health Network)
First Health Network (f.k.a. CCN, PPO OK, HCVM, SouthCare)
PPO Oklahoma (now known as: First Health Network
74095 USAA (United States Automobile Association)
74323 Medical Benefits Mutual
75190 NCAS - Fairfax, VA
75191 NCAS-Charlotte
75237 HealthSmart Accel
75250 Provider Direct Network (HealthSmart Preferred Care)
75278 Arkansas Best Corporation - Choice Benefits
75281 New Era Life Insurance Company
76066 Renaissance Physicians Organization
77001 Amerihealth NorthEast
77002 Amerihealth District of Columbia
77076 Network Health Insurance - Medicare
77153 Indiana University (IU) Health Plan – Commercial/Marketplace
Southeastern Indiana Health (SIHO)
81264 Nippon Life Insurance Co.
81883 Municipal Health Benefit Fund
83028 CDO Technologies
MBA Benefit Administrators
84076 Sinclair Health Plan
84109 Pinnacol Assurance
84135 Denver Health Medical Plan
84980 BCBS Texas/HMO Blue Shield (non-MediCaid)
85578 Ingalls Provider Group
87042 Union Pacific Railroad Employees Health System
87071 Liberty Health Advantage
87098 Avesis Third Party Administrator
87815 Acordia
HealthSmart Benefit Solutions (Wells Fargo TPA/Acordia National)
Shaw Industries
Wells Fargo Third Party Administrators, Inc. (Formerly Accordia)
87843 Consolidated Health Plans
88019 Teachers Health Trust
88022 CDS Group Health
88023 Hometown Health Plan Nevada
88027 Benefit Plan Admin - Northern Nevada Trust Fund
Electrical Workers Health and Welfare Plan for Northern Nevada
Northern Nevada Operating Engineers Health and Welfare
Northern Nevada Trust Fund
88029 Saint Marys Health Plan
St Marys Health Plan
88030 Scott & White Health Care Plan
88067 Tall Tree Administrators
90001 Healthcare Plan PPO
Healthlink PPO
National Capital Preferred Provider Organization (NCPPO)
90560 Westlake Financial Group
91078 Trusteed Plans Service Corporation
91136 Alaska Carpenters Trust Group #F40
Alaska Childrens Services, Inc. Group #P68
Alaska Laborers Construction Industry Trust Group #F23
Alaska Pipe Trades Local Group #F24
Alaska United Food & Commercial Workers Health & Welfare Trust Group #F45
Caremark WPAS, Group #P62
Cement Masons & Plasterers Health & Welfare Trust Group #F16
Enstar Natural Gas, Group #P61
Hotel Employees & Restaurant Employees Health Trust, Group #F19
N.W. Ironworkers Health & Security Trust Fund, Group #F15
N.W. Roofers & Employers Health & Security Trust Fund, Group #F26
N.W. Textile Processors Group #F14
Operating Engineers Locals 302 & 612 Health & Security Fund, Group #F12
Puget Sound Benefits Trust, Group #F25
Puget Sound Electrical Workers Trust, Group #33
91171 Physicians of Southwest Washington
91184 Sanford Health Plan
93044 A & I Benefit Plan Administrators
93092 US Benefits
94123 Kaiser Permanente Health Plan of Hawaii
94320 Kaiser California Select for Individuals
Kaiser CSI
Kaiser Self-Funded
KPIC Self-Funded Claims Administrator
94998 Firstcare (Medicaid)
94999 Firstcare
95044 AmeriHealth Delaware - POS
Amerihealth HMO New Jersey and Delaware (Highmark)
AmeriHealth New Jersey - POS
AmeriHealth Pennsylvania - ERISA
AmeriHealth Pennsylvania - HMO/POS
95202 Summacare Health Plan (HMO)
95348 Humana Ohio
95377 Beech Street
95397 Personal Insurance Administrators
95426 Affordable Benefit Administrators
95444 Indiana University (IU) Health Plan – Medicare Advantage
MPLAN, Inc./HealthCare Group, LLC
95998 New Avenues
98514 TRLHN AS
99320 Benefit & Risk Management Services (BRMS)
California Water Service (Cal Water)
AHS01 Access Administrators
APG01 Affiliated Physicians Group
BTSS1 Brown & Toland Sutter Select
BV001 Block Vision - VIPA/Block Vision of Texas
CB987 Dart Member Care
CP001 InterCommunity Health CCO (IHN)
Samaritan Advantage (SA01)
Samaritan Choice (SCP)
Samaritan Health Plans
Samaritan Healthy Kids (KID)
DOCSO Southwest Oregon IPA (DOCS)
Western Oregon Advanced Health
EBSRM Lifetime Benefit Solutions
FS802 Bridgeview Company
FirstSolutions
GEM01 Global Excel Management
GHOKC Global Health
HESUN Healthsun Health Plan
KLSY1 SelectCare of Texas (Kelsey-Seybold)
TexanPlus of Texas (Kelsey-Seybold)
LCM01 Little Company of Mary
MAHP1 Medical Associates Health Plan
MHHNP MEMORIAL HERMANN HLTH NET
MRCHP CareSource Health Plan of Oregon
REHNA Rehn and Associates
SHEBP Seton Employee Plan
SX105 Deseret Mutual Benefit Administrators
Public Employees Health Plan (PEHP)
SX110 Educators Mutual of Utah (EMI Health)
SX145 Banner Health AZ
Banner Health Co, - ROCKY MOUNTAIN HMO GREELEY
Banner Health Co. - ANTERO GREELEY
Banner Health Co. - ANTERO HIGH PLAINS
Banner Health Co. - ANTERO MOUNTAIN SHADOWS
Banner Health Co. - CHOICE PLUS
Banner Health Co. - HMO GREELEY
Banner Health Co. - HMO HIGH PLAINS
Banner Health Co. - HMO MOUNTAIN SHADOWS
Banner Health Co. - PACIFICARE GREELEY
Banner Health Co. - PACIFICARE HIGH PLAINS
Banner Health Co. - PACIFICARE MOUNTAIN SHADOWS
Banner Health Co. - ROCKY MOUNTAIN HMO HIGH PLAINS
Banner Health Co. - SECURE HORIZONS GREELEY
Banner Health Co. - SECURE HORIZONS HIGH PLAINS
Banner Health Co. - SECURE HORIZONS MOUNTAIN SHADOWS
University of Utah
SX172 MDwise Eskenazi Health - Healthy Indiana Plan (HCFA only)
MDwise Eskenazi Health - Hoosier Healthwise (HCFA only)
MDwise Excel Network - Healthy Indiana Plan (HCFA only)
MDwise Excel Network - Hoosier Healthwise (HCFA only)
MDwise Family Planning - Healthy Indiana Plan (HCFA only)
MDwise Family Planning - Hoosier Healthwise (HCFA only)
MDwise Franciscan - Healthy Indiana Plan (HCFA only)
MDwise Healthy Indiana Plan HIP (HCFA Only)
MDwise Hoosier Care Connect (HCFA only)
MDwise Hoosier/Healthy Indiana (HCFA)
MDwise IU Health - Healthy Indiana Plan (HCFA only)
MDwise IU Health - Hoosier Healthwise (HCFA only)
MDwise Marketplace (HCFA only)
MDwise Select Health Network - Healthy Indiana Plan (HCFA only)
MDwise St. Catherine - Healthy Indiana Plan (HCFA only)
MDwise St. Margaret - Healthy Indiana Plan (HCFA only)
MDwise St. Vincent - Healthy Indiana Plan (HCFA only)
MDwise Total Health - Healthy Indiana Plan (HCFA only)
MDwise Total Health - Hoosier Healthwise (HCFA only)

Questions? Please email: Support@OfficeAlly.com
or call 360-975-7000, option 1

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