Coverage profile
Work Celtic 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Celtic.
Other aliases
Also known as
- 1043
- 10668
- 5219
- 68063
- CELTC
- Celtic Insurance Company
- Delaware First Health
- CELTIC INSURANCE
2027 maternity billing research
When does Celtic 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 template for medical maternity services; Celtic Delaware product adoption and effective date are unverified. No dental billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Celtic payer FAQs
What is the payer ID for Celtic?
The primary payer ID for Celtic is 68063. 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 Celtic?
The 837P and 837I payer ID for Celtic is 68063 via Stedi.
What is the 835 payer ID for Celtic?
The 835 payer ID for Celtic is 68063 via Stedi.
What is the 270 payer ID for Celtic?
The 270 payer ID for Celtic is 68063 via Stedi.
What state does Celtic operate in?
Celtic operates in DE.
Routing reference
Celtic 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 | CelticSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | DESource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 68063Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 68063Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 68063Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 68063Source: Stedi 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: Celtic. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
