Coverage profile
How Substrate can help you with Keystone Health Plan East
Substrate can help practices and billers with the following claims tasks for Keystone Health Plan East.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Keystone Health Plan East.
Frequently asked questions
Keystone Health Plan East payer FAQs
What is the payer ID for Keystone Health Plan East?
The primary payer ID for Keystone Health Plan East is 95056. 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 Keystone Health Plan East?
The 837P and 837I payer ID for Keystone Health Plan East is 95056 via Stedi.
What is the 835 payer ID for Keystone Health Plan East?
The 835 payer ID for Keystone Health Plan East is 95056 via Stedi.
What is the 270 payer ID for Keystone Health Plan East?
The 270 payer ID for Keystone Health Plan East is 95056 via Stedi.
What states does Keystone Health Plan East operate in?
Keystone Health Plan East operates in AL, AR, CA, CO, DE, GA, IN, MS, NC, NE, NH, NJ, OH, OK, PA, SC, TN, and VA.
Routing reference
Keystone Health Plan East 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 | Keystone Health Plan East |
|---|---|
| Operating states | AL, AR, CA, CO, DE, GA, IN, MS, NC, NE, NH, NJ, OH, OK, PA, SC, TN, VA |
| 837P professional claims payer IDStedi | 95056 |
| 837I institutional claims payer IDStedi | 95056 |
| 835 ERA payer IDStedi | 95056Enrollment required |
| 270 eligibility payer IDStedi | 95056 |
Payer contact directory
Keystone Health Plan East 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.
- Utilization management phone
- (866) 470-6244UTILIZATION MANAGEMENT
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(866) 470-6244 | Utilization managementBenefit context: Co-Insurance |
| Hospital |
| phone(800) 275-2583 | Other stated contextBenefit context: Co-Payment |
| Chiropractic |
| phone(800) 676-2583 | Other stated contextBenefit context: Inactive |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 12X25
- 16711
- 3559
- 7417
- 95056
- IBX
- Independence Blue Cross
- Independence Health Group
- Keystone East HMO
- KEYSTONEHEALTHPLAN
