Coverage profile
How Substrate can help you with Harmony Health Plan
Substrate can help practices and billers with the following claims tasks for Harmony Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Harmony Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Harmony Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Harmony Health Plan.
2027 maternity billing research
When does Harmony Health Plan change OB/GYN billing?
No corporate 2027 start date found. The current template supports global maternity billing and code-audit review, but it is effective only when adopted by a specific Centene health plan on that plan's own date.
- Transition start
- Not published
- Billing start
- Not published
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Centene corporate template; state-plan adoption must be verified
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Harmony Health Plan payer FAQs
How do I check claim status with Harmony Health Plan?
Providers check Harmony Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Harmony Health Plan 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 Harmony Health Plan?
The primary payer ID for Harmony Health Plan is 10514. 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 Harmony Health Plan?
The provider portal for Harmony Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Harmony Health Plan?
The 837P and 837I payer ID for Harmony Health Plan is 10514 via Stedi.
What is the 835 payer ID for Harmony Health Plan?
The 835 payer ID for Harmony Health Plan is 10514 via Stedi.
What is the 270 payer ID for Harmony Health Plan?
The 270 payer IDs for Harmony Health Plan are 10514 via Stedi and 14163 via Availity.
What is the 276 payer ID for Harmony Health Plan?
The 276 payer IDs for Harmony Health Plan are 10514 via Stedi and 14163 and HARHP14163 via Availity.
What state does Harmony Health Plan operate in?
Harmony Health Plan operates in IL.
Routing reference
Harmony Health Plan 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 | Harmony Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | ILSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 10514Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 10514Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 10514Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 10514Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 14163Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 10514Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 14163HARHP14163Source: Availity payer catalog · catalog dated · matched by payer name |
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: Harmony Health Plan. 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 name; matched record: HARMONY HEALTH PLAN. 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
- 10514
- 36406
- HARHP14163
- HARM1
- Wellcare Health Plans
- HARMONY
- HARMONYHP