Coverage profile
How Substrate can help you with Capital Health Plan
Substrate can help practices and billers with the following claims tasks for Capital Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Capital Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Capital Health Plan.
Frequently asked questions
Capital Health Plan payer FAQs
How do I check claim status with Capital Health Plan?
Providers check Capital Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for Capital Health Plan?
The primary payer ID for Capital Health Plan is 95112. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What are the 837 payer IDs for Capital Health Plan?
The 837P and 837I payer ID for Capital Health Plan is 95112 via Stedi.
What is the 835 payer ID for Capital Health Plan?
The 835 payer ID for Capital Health Plan is 95112 via Stedi.
What is the 270 payer ID for Capital Health Plan?
The 270 payer IDs for Capital Health Plan are 95112 via Stedi and 95112 via Availity.
What is the 276 payer ID for Capital Health Plan?
The 276 payer IDs for Capital Health Plan are 95112 via Stedi and 95112 via Availity.
What state does Capital Health Plan operate in?
Capital Health Plan operates in FL.
Routing reference
Capital Health Plan 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 | Capital Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | FLSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 95112Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 95112Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 95112Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 95112Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 95112Source: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 95112Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 95112Source: Availity payer catalog · catalog dated · matched by payer ID |
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: Capital Health Plan. 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 ID; matched record: CAPITAL HEALTH PLAN. 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.
Other aliases
Also known as
- 13278
- 1985
- 4246
- 95112
- 95112, CAPTL
- 95112MA
- CAPTAL
- CHP
- Capital Community Health Plan
- CAPITALHP