Coverage profile
How Substrate can help you with CommunityCare
Substrate can help practices and billers with the following claims tasks for CommunityCare.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with CommunityCare.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with CommunityCare.
Frequently asked questions
CommunityCare payer FAQs
How do I check claim status with CommunityCare?
Providers check CommunityCare via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for CommunityCare?
The primary payer ID for CommunityCare is 73143. 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 CommunityCare?
The 837P and 837I payer ID for CommunityCare is 73143 via Stedi.
What is the 835 payer ID for CommunityCare?
The 835 payer ID for CommunityCare is 73143 via Stedi.
What is the 270 payer ID for CommunityCare?
The 270 payer ID for CommunityCare is 73143 via Stedi.
What is the 276 payer ID for CommunityCare?
The 276 payer IDs for CommunityCare are 73143 via Stedi and 73143 via Availity.
What state does CommunityCare operate in?
CommunityCare operates in OK.
Routing reference
CommunityCare 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 | CommunityCareSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | OKSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 73143Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 73143Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 73143Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 73143Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 73143Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 73143Source: 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: CommunityCare. 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: COMMUNITY CARE MANAGED HEALTH CARE PLANS OKLAHOMA. 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
- 10066
- 1874
- 73143
- 8560
- CCOOK
- COM01
- OKCMCR
- Community Care of Oklahoma
- CommunityCare HMO, Inc.
- CommunityCare Life and Health
- Senior Health Plan
- COMMUNITY CARE OKLAHOMA
- COMMUNITY CARE MANAGED HEALTH CARE PLANS OKLAHOMA
- COMMUNITY CARE MANAGED HEALTH
- CMNTYCARE7