Coverage profile
How Substrate can help you with HealthPlans Incorporated
Substrate can help practices and billers with the following claims tasks for HealthPlans Incorporated.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HealthPlans Incorporated.
Frequently asked questions
HealthPlans Incorporated payer FAQs
What is the payer ID for HealthPlans Incorporated?
The primary payer ID for HealthPlans Incorporated is 10802. 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 HealthPlans Incorporated?
The 837P and 837I payer ID for HealthPlans Incorporated is 44273 via Stedi.
What is the 835 payer ID for HealthPlans Incorporated?
The 835 payer ID for HealthPlans Incorporated is 44273 via Stedi.
What is the 270 payer ID for HealthPlans Incorporated?
The 270 payer IDs for HealthPlans Incorporated are 44273 via Stedi and 10802 via Availity.
What states does HealthPlans Incorporated operate in?
HealthPlans Incorporated operates in AR, CO, NC, and TN.
Routing reference
HealthPlans Incorporated 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 | HealthPlans IncorporatedSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | AR, CO, NC, TNSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | 44273Source: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | 44273Source: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | 44273Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | 44273Source: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDAvaility | 10802Source: 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 .
- Stedi payer catalogMatched by payer name; matched record: Health Plans Incorporated. 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: HEALTHPLANS INCORPORATED. 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 ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Health Plans Incorporated. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse 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
- 10802
- HEALTHPLANS INC