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HealthSCOPE Benefits

Primary payer ID
40026Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from HealthSCOPE Benefits? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with HealthSCOPE Benefits

Substrate can help practices and billers with the following claims tasks for HealthSCOPE Benefits.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with HealthSCOPE Benefits.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HealthSCOPE Benefits.

Available

Frequently asked questions

HealthSCOPE Benefits payer FAQs

How do I check claim status with HealthSCOPE Benefits?

Providers check HealthSCOPE Benefits via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for HealthSCOPE Benefits?

The primary payer ID for HealthSCOPE Benefits is 40026. 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 HealthSCOPE Benefits?

The 837P and 837I payer ID for HealthSCOPE Benefits is 40026 via Stedi.

What is the 835 payer ID for HealthSCOPE Benefits?

The 835 payer ID for HealthSCOPE Benefits is 40026 via Stedi.

What is the 270 payer ID for HealthSCOPE Benefits?

The 270 payer IDs for HealthSCOPE Benefits are 40026 via Stedi and 10621 via Availity.

Resource library

Routing reference

HealthSCOPE Benefits 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.

HealthSCOPE Benefits payer name, operating states, and transaction-specific payer IDs
Payer nameHealthSCOPE Benefits
837P professional claims payer IDStedi40026
837I institutional claims payer IDStedi40026
835 ERA payer IDStedi40026Enrollment required
270 eligibility payer IDStedi40026
270 eligibility payer IDAvaility10621

Payer contact directory

HealthSCOPE Benefits phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 687-0707MAXOR
HealthSCOPE Benefits payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 687-0707Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MAXOR
Pharmacy
phone(800) 699-3542Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • PROCARE RX
Pharmacy
phone(800) 759-3203Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SERVE YOU
Pharmacy
phone(800) 788-2949Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • MEDIMPACT
Pharmacy
phone(800) 818-6632Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EXPRESS SCRIPTS (FORMERLY MEDCO)
Pharmacy
phone(866) 273-8410Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(877) 559-2955Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(888) 869-4600Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CATAMARAN (FORMERLY CATALYST RX)
Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10621
  • 16698
  • 35092
  • 40026
  • 4424
  • 45321
  • 6814
  • 6994
  • 71063
  • 71084
  • 8011
  • 8413
  • 9725
  • EQNUS
  • HFDVC
  • HLTSCP
  • ZWDBM
  • HealthSCOPE