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Piedmont Community Health Plan

Primary payer ID
55768Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Not enough dataEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from Piedmont Community Health Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Piedmont Community Health Plan

Substrate can help practices and billers with the following claims tasks for Piedmont Community Health Plan.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Piedmont Community Health Plan.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Piedmont Community Health Plan.

Available

Frequently asked questions

Piedmont Community Health Plan payer FAQs

How do I check claim status with Piedmont Community Health Plan?

Providers check Piedmont Community Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Piedmont Community Health Plan?

The primary payer ID for Piedmont Community Health Plan is 55768. 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 Piedmont Community Health Plan?

The 837P and 837I payer ID for Piedmont Community Health Plan is 55768 via Stedi.

What is the 835 payer ID for Piedmont Community Health Plan?

The 835 payer ID for Piedmont Community Health Plan is 55768 via Stedi.

What is the 270 payer ID for Piedmont Community Health Plan?

The 270 payer ID for Piedmont Community Health Plan is 55768 via Stedi.

What is the 276 payer ID for Piedmont Community Health Plan?

The 276 payer ID for Piedmont Community Health Plan is 55768 via Stedi.

What state does Piedmont Community Health Plan operate in?

Piedmont Community Health Plan operates in VA.

Resource library

Routing reference

Piedmont Community Health Plan 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.

Piedmont Community Health Plan payer name, operating states, and transaction-specific payer IDs
Payer namePiedmont Community Health PlanSource: Substrate payer directory · last refreshed
Operating statesVASource: Substrate payer directory · last refreshed
837P professional claims payer IDStedi55768Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi55768Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi55768Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi55768Source: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStedi55768Source: Stedi payer catalog · catalog dated · matched by payer ID

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: Piedmont Community Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi 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

  • 00288
  • 10882
  • 14461
  • 55768
  • 55768MA
  • 6045
  • 9199
  • PDMTHP