Coverage profile
How Substrate can help you with CommuniCare Advantage
Substrate can help practices and billers with the following claims tasks for CommuniCare Advantage.
Frequently asked questions
CommuniCare Advantage payer FAQs
What is the payer ID for CommuniCare Advantage?
The primary payer ID for CommuniCare Advantage is 34525. 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 CommuniCare Advantage?
The 837P and 837I payer ID for CommuniCare Advantage is 34525 via Stedi.
What is the 835 payer ID for CommuniCare Advantage?
The 835 payer ID for CommuniCare Advantage is 34525 via Stedi.
What states does CommuniCare Advantage operate in?
CommuniCare Advantage operates in IN, MD, and OH.
Routing reference
CommuniCare Advantage 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 | CommuniCare AdvantageSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | IN, MD, OHSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 34525Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 34525Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 34525Enrollment requiredSource: 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: CommuniCare Advantage. 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.
Other aliases
Also known as
- 34525
- 5095
- 70022
- 9144
- COMMUNICARE ADVANTAGE - DOS PRIOR TO 1-1-26
