Coverage profile
How Substrate can help you with Clover Health
Substrate can help practices and billers with the following claims tasks for Clover Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Clover Health.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Clover Health.
Frequently asked questions
Clover Health payer FAQs
Can I automate Clover Health 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 Clover Health?
The primary payer ID for Clover Health is CRPHP. 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 Clover Health?
The provider portal for Clover Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Clover Health?
The 837P and 837I payer ID for Clover Health is CRPHP via Stedi.
What is the 270 payer ID for Clover Health?
The 270 payer ID for Clover Health is CRPHP via Stedi.
What is the 276 payer ID for Clover Health?
The 276 payer ID for Clover Health is CRPHP via Availity.
What states does Clover Health operate in?
Clover Health operates in GA, MS, NJ, PA, SC, and TX.
Routing reference
Clover Health 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 | Clover Health |
|---|---|
| Operating states | GA, MS, NJ, PA, SC, TX |
| 837P professional claims payer IDStedi | CRPHP |
| 837I institutional claims payer IDStedi | CRPHP |
| 270 eligibility payer IDStedi | CRPHP |
| 276 claim status payer IDAvaility | CRPHP |
Payer contact directory
Clover Health phone and fax numbers
Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.
- Payer phone
- (877) 853-8019Clover Health
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(877) 853-8019 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 10822
- 77023
- CRPHP
- CarePoint Advantage
- CLOVERHLTH
