Coverage profile
How Substrate can help you with iCare
Substrate can help practices and billers with the following claims tasks for iCare.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with iCare.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with iCare.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for iCare.
Frequently asked questions
iCare payer FAQs
How do I check claim status with iCare?
Providers check iCare via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate iCare 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 iCare?
The primary payer ID for iCare is 11695. 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 iCare?
The provider portal for iCare is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for iCare?
The 837P and 837I payer ID for iCare is 11695 via Stedi.
What is the 835 payer ID for iCare?
The 835 payer ID for iCare is 11695 via Stedi.
What is the 270 payer ID for iCare?
The 270 payer IDs for iCare are 11695 via Stedi and HUMANA via Availity.
What is the 276 payer ID for iCare?
The 276 payer IDs for iCare are 11695 via Stedi and 61101 via Availity.
What state does iCare operate in?
iCare operates in WI.
Routing reference
iCare 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 | iCareSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | WISource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 11695Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 11695Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 11695Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 11695Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | HUMANASource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 11695Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDAvaility | 61101Source: 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: iCare. 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: HUMANA. 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: Humana. 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.
Other aliases
Also known as
- 11233
- 11695
- 1907
- 2285
- INDCH
- Z1044
- Z1044MA
- Humana
- Independent Care Health Plan
- ICARE (INDEPENDENT CARE HEALTH PLAN)
- ICARE (INDEPENDENT CARE HEALTH PLAN
- AETNA (COMMERCIAL & MEDICARE)