Coverage profile
How Substrate can help you with HIP / EmblemHealth Insurance Company
Substrate can help practices and billers with the following claims tasks for HIP / EmblemHealth Insurance Company.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HIP / EmblemHealth Insurance Company.
Frequently asked questions
HIP / EmblemHealth Insurance Company payer FAQs
What is the payer ID for HIP / EmblemHealth Insurance Company?
The primary payer ID for HIP / EmblemHealth Insurance Company is 55247. 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 HIP / EmblemHealth Insurance Company?
The 837P and 837I payer ID for HIP / EmblemHealth Insurance Company is 55247 via Stedi.
What is the 835 payer ID for HIP / EmblemHealth Insurance Company?
The 835 payer ID for HIP / EmblemHealth Insurance Company is 55247 via Stedi.
What is the 270 payer ID for HIP / EmblemHealth Insurance Company?
The 270 payer IDs for HIP / EmblemHealth Insurance Company are 55247 via Stedi and EMBLM via Availity.
What state does HIP / EmblemHealth Insurance Company operate in?
HIP / EmblemHealth Insurance Company operates in NY.
Routing reference
HIP / EmblemHealth Insurance Company 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 | HIP / EmblemHealth Insurance CompanySource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NYSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 55247Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 55247Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 55247Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 55247Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | EMBLMSource: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: HIP / EmblemHealth Insurance Company. 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: EMBLEM 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 ↗
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
- 10406
- 1896
- 55247
- 55247MA
- 8599
- E5247
- HIPNY
- XCBVF
- EmblemHealth
- HIP Health Insurance Plan of Greater New York
- HIPIC
- HTHINSPLN
- HEALTH INSURANCE PLAN OF GREATER NEW YORK