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Preferred Care Network

Primary payer ID
78857Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271AI appeals workflow

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Coverage profile

How Substrate can help you with Preferred Care Network

Substrate can help practices and billers with the following claims tasks for Preferred Care Network.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Preferred Care Network.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Preferred Care Network.

Available

Appeals agent

AI appeals workflow

The Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Preferred Care Network.

Available

Frequently asked questions

Preferred Care Network payer FAQs

How do I check claim status with Preferred Care Network?

Providers check Preferred Care Network via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Preferred Care Network?

The primary payer ID for Preferred Care Network is 78857. 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 Preferred Care Network?

The 837P and 837I payer ID for Preferred Care Network is 78857 via Stedi.

What is the 835 payer ID for Preferred Care Network?

The 835 payer ID for Preferred Care Network is 78857 via Stedi.

What is the 270 payer ID for Preferred Care Network?

The 270 payer ID for Preferred Care Network is 78857 via Stedi.

What is the 276 payer ID for Preferred Care Network?

The 276 payer ID for Preferred Care Network is 78857 via Stedi.

What state does Preferred Care Network operate in?

Preferred Care Network operates in FL.

Resource library

Routing reference

Preferred Care Network 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.

Preferred Care Network payer name, operating states, and transaction-specific payer IDs
Payer namePreferred Care Network
Operating statesFL
837P professional claims payer IDStedi78857
837I institutional claims payer IDStedi78857
835 ERA payer IDStedi78857Enrollment required
270 eligibility payer IDStedi78857
276 claim status payer IDStedi78857

Payer contact directory

Preferred Care Network 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.

Eligibility / benefits phone
(866) 273-8410CAREMARK
Preferred Care Network payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(866) 273-8410Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CAREMARK
Pharmacy
phone(877) 559-2955Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUMRX
Pharmacy
phone(877) 635-9545Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • PRO ACT
Pharmacy
phone(888) 869-4600Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • CATAMARAN (FORMERLY CATALYST RX)
Pharmacy

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 4243
  • 78857
  • Medica Health Care Plan
  • Medica Healthcare Plan Florida
  • Preferred Care Network Health
  • UnitedHealthcare Insurance Company
  • UnitedHealthcare Services, Inc.
  • MEDICAHC