Coverage profile
Work HealthSpring 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 HealthSpring.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HealthSpring.
Enhanced claim status
Availity ECSPortal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for HealthSpring.
Other aliases
Also known as
- 101008
- 10399
- 10552
- 1556
- 1978
- 2795
- 3839
- 4742
- 52192
- 52192MA
- 5694
- 63092
- 63092MA
- ANDPM
- BRAVO
- ELDER
- ELDRHL
- HSPRNG
- Bravo Health
- HCSC
- HealthSpring (Bravo Health Elder Health)
- HealthSpring HMO Medicare Choice
- Cigna Healthcare-Medicare Advantage
- CIGNAMA
- HEALTHSPRING STAR PLUS ONLY
- HEALTHSPRING HMO HEALTHSPRING MEDICARE CHOICE
- HTHSPRING6
- CIGNA HEALTHSPRING (BRAVO HEALTH ELDER HEALTH)
- CIGNA HEALTHSPRING
- HEALTHSPRING MEDICARE ADVANTAGE
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
8 days- 10% of adjudications by
- 6 days
- 90% of adjudications by
- 11 days
- Applicable state coverage
- TN
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | No qualified data | ||||
| May | 8 days | 6 days | 13 days | 137 | TN |
| Jun | 8.6 days | 6 days | 11 days | 243 | TN |
| Jul | 8 days | 6 days | 11 days | 288 | TN |
| Aug | No qualified data | ||||
Frequently asked questions
HealthSpring payer FAQs
How do I check claim status with HealthSpring?
Providers check HealthSpring via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate HealthSpring 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 HealthSpring?
The primary payer ID for HealthSpring is 63092. 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 HealthSpring?
The provider portal for HealthSpring is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for HealthSpring?
The 837P and 837I payer ID for HealthSpring is 63092 via Stedi.
What is the 835 payer ID for HealthSpring?
The 835 payer ID for HealthSpring is 63092 via Stedi.
What is the 270 payer ID for HealthSpring?
The 270 payer IDs for HealthSpring are 63092 via Stedi and ELDER via Availity.
What is the 276 payer ID for HealthSpring?
The 276 payer IDs for HealthSpring are 63092 via Stedi and ELDER via Availity.
What states does HealthSpring operate in?
HealthSpring operates in AL, DE, FL, IL, MD, MN, NJ, PA, TN, TX, and WA.
Routing reference
HealthSpring 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 | HealthSpringSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | AL, DE, FL, IL, MD, MN, NJ, PA, TN, TX, WASource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 63092Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 63092Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 63092Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 63092Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | ELDERSource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | 63092Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | ELDERSource: Availity payer catalog · catalog dated · matched by payer ID |
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: HealthSpring. 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: CIGNA HEALTHSPRING (BRAVO HEALTH ELDER HEALTH). 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: HealthSpring. 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.
Payer contact directory
HealthSpring 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.
- Payer phone
- (800) 230-6138HEALTHSPRING
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 284-9917 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(800) 288-2078 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(800) 441-2668 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(800) 942-4765 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(816) 945-9185 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(855) 544-0036 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(866) 641-3323 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(877) 842-3625 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(888) 353-2653 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Vision (Optometry) |
| phone(800) 230-6138Phone menu guide → |
| ||
| phone(800) 244-6224 |
| ||
| phone(800) 685-1060 |
| ||
| phone(800) 882-4462 |
| ||
| phone(866) 494-2111 |
|
Phone and fax numbers sourced directly from the payer response
Phone menu guides
- (800) 230-6138HealthSpring Customer Service