Coverage profile
Work HealthSCOPE Benefits across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with HealthSCOPE Benefits.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HealthSCOPE Benefits.
Other aliases
Also known as
- 10621
- 16698
- 35092
- 40026
- 4424
- 45321
- 6814
- 6994
- 71063
- 71084
- 8011
- 8413
- 9725
- EQNUS
- HFDVC
- HLTSCP
- ZWDBM
- HealthSCOPE
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.
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.
| Payer name | HealthSCOPE BenefitsSource: Substrate payer directory · data last changed |
|---|---|
| 837P professional claims payer IDStedi | 40026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 40026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 40026Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 40026Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10621Source: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: HealthSCOPE Benefits. 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: HEALTHSCOPE BENEFITS. 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.
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
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 687-0707 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 699-3542 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 759-3203 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 788-2949 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(800) 818-6632 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(866) 273-8410 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(877) 559-2955 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
| phone(888) 869-4600 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Pharmacy |
Phone and fax numbers sourced directly from the payer response