Coverage profile
How Substrate can help you with Healthplex
Substrate can help practices and billers with the following claims tasks for Healthplex.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Healthplex.
Frequently asked questions
Healthplex payer FAQs
What is the payer ID for Healthplex?
The primary payer ID for Healthplex is 11271. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
Routing reference
Healthplex 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 | HealthplexSource: Substrate payer directory · last refreshed |
|---|
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
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
- 11271
- Healthplex, Inc.