Coverage profile
Work Advantage by Managed Health Services across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Advantage by Managed Health Services.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Advantage by Managed Health Services.
Other aliases
Also known as
- 10563
- Centene
- Wellcare Health Plans
2027 maternity billing research
When does Advantage by Managed Health Services change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate medical maternity template; adoption and effective date for Advantage by Managed Health Services in Wisconsin are unverified.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Advantage by Managed Health Services payer FAQs
How do I check claim status with Advantage by Managed Health Services?
Providers check Advantage by Managed Health Services via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Advantage by Managed Health Services?
The primary payer ID for Advantage by Managed Health Services is 10563. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the 270 payer ID for Advantage by Managed Health Services?
The 270 payer IDs for Advantage by Managed Health Services are 10563 via Stedi and 14163 and 68069 via Availity.
What is the 276 payer ID for Advantage by Managed Health Services?
The 276 payer IDs for Advantage by Managed Health Services are 10563 via Stedi and 14163 and 68069 via Availity.
What state does Advantage by Managed Health Services operate in?
Advantage by Managed Health Services operates in WI.
Routing reference
Advantage by Managed Health Services payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | Advantage by Managed Health ServicesSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | WISource: Substrate payer directory · last refreshed |
| 270 eligibility payer IDStedi | 10563Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 1416368069Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 10563Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 1416368069Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Advantage by Managed Health Services. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer name; matched records: CENTENE, WELLCARE HEALTH PLANS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.