Coverage profile
How Substrate can help you with CarePlus Health Plans
Substrate can help practices and billers with the following claims tasks for CarePlus Health Plans.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CarePlus Health Plans.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CarePlus Health Plans.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for CarePlus Health Plans.
Frequently asked questions
CarePlus Health Plans payer FAQs
How do I check claim status with CarePlus Health Plans?
Providers check CarePlus Health Plans via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate CarePlus Health Plans portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for CarePlus Health Plans?
The primary payer ID for CarePlus Health Plans is 65031. 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 provider portal for CarePlus Health Plans?
The provider portal for CarePlus Health Plans is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for CarePlus Health Plans?
The 837P and 837I payer IDs for CarePlus Health Plans are 61101 and 95092 via Stedi.
What is the 835 payer ID for CarePlus Health Plans?
The 835 payer IDs for CarePlus Health Plans are 61101 and 95092 via Stedi.
What is the 270 payer ID for CarePlus Health Plans?
The 270 payer IDs for CarePlus Health Plans are 61101 and 95092 via Stedi and 95092 via Availity.
What is the 276 payer ID for CarePlus Health Plans?
The 276 payer IDs for CarePlus Health Plans are 61101 and 95092 via Stedi and 95092 via Availity.
What states does CarePlus Health Plans operate in?
CarePlus Health Plans operates in CA and FL.
Routing reference
CarePlus Health Plans 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 | CarePlus Health Plans |
|---|---|
| Operating states | CA, FL |
| 837P professional claims payer IDStedi | 6110195092 |
| 837I institutional claims payer IDStedi | 6110195092 |
| 835 ERA payer IDStedi | 6110195092Enrollment required |
| 270 eligibility payer IDStedi | 6110195092 |
| 270 eligibility payer IDAvaility | 95092 |
| 276 claim status payer IDStedi | 6110195092 |
| 276 claim status payer IDAvaility | 95092 |
Other aliases
Also known as
- 65031
- 65031MA
- CAREPLUS