Coverage profile
How Substrate can help you with Priority Health
Substrate can help practices and billers with the following claims tasks for Priority Health.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Priority Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Priority Health.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Priority Health.
Appeals agent
AI appeals workflowThe Substrate Appeals Agent can submit appeals for RFIs, medical record requests, downcoding reconsiderations, and more via the payer portal for Priority Health.
Frequently asked questions
Priority Health payer FAQs
How do I check claim status with Priority Health?
Providers check Priority Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Priority Health 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 Priority Health?
The primary payer ID for Priority Health is 38217. 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 Priority Health?
The provider portal for Priority Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Priority Health?
The 837P and 837I payer ID for Priority Health is 38217 via Stedi.
What is the 835 payer ID for Priority Health?
The 835 payer ID for Priority Health is 38217 via Stedi.
What is the 270 payer ID for Priority Health?
The 270 payer IDs for Priority Health are 38217 via Stedi and PRHTH via Availity.
What is the 276 payer ID for Priority Health?
The 276 payer ID for Priority Health is 38217 via Stedi.
What state does Priority Health operate in?
Priority Health operates in MI.
Routing reference
Priority Health 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 | Priority Health |
|---|---|
| Operating states | MI |
| 837P professional claims payer IDStedi | 38217 |
| 837I institutional claims payer IDStedi | 38217 |
| 835 ERA payer IDStedi | 38217Enrollment required |
| 270 eligibility payer IDStedi | 38217 |
| 270 eligibility payer IDAvaility | PRHTH |
| 276 claim status payer IDStedi | 38217 |
Other aliases
Also known as
- 00493
- 10490
- 38217
- 38217MA
- 7459
- DX021
- PRHTH
- PRIORITY
- PRIRTY
- PRIORTYHTH
- PRIORITY PARTNERS