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Prospect Health

Primary payer ID
PROSPCompare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answering

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Coverage profile

How Substrate can help you with Prospect Health

Substrate can help practices and billers with the following claims tasks for Prospect Health.

Payer intelligence

Observed adjudication timing

How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.

Median time to payment

22 days
10% of adjudications by
22 days
90% of adjudications by
23 days
Applicable state coverage
CA
Current As Of
July 2026

Five-month median trend

Days to 835 payment
Prospect Health median observed adjudication timingMonthly median days from payer receipt to 835 payment from April 2026 through August 2026. Missing qualified months are shown as gaps.012.525AprMayJunJulAug
View chart data as a table
Prospect Health observed adjudication timing by service month
Service monthMedian10% of adjudications by90% of adjudications byCompleted claimsCoverage
AprNo qualified data
May24 days22 days51 days144CA
Jun23 days22 days24 days296CA
Jul22 days22 days23 days182CA
AugNo qualified data

Frequently asked questions

Prospect Health payer FAQs

What is the payer ID for Prospect Health?

The primary payer ID for Prospect Health is PROSP. 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 Prospect Health?

The 837P and 837I payer ID for Prospect Health is PROSP via Stedi.

What is the 835 payer ID for Prospect Health?

The 835 payer ID for Prospect Health is PROSP via Stedi.

Resource library

Routing reference

Prospect 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.

Prospect Health payer name, operating states, and transaction-specific payer IDs
Payer nameProspect Health
837P professional claims payer IDStediPROSP
837I institutional claims payer IDStediPROSP
835 ERA payer IDStediPROSPEnrollment required

Other aliases

Also known as

  • 3287
  • 8684
  • PROSP
  • PROSPMA
  • AMVI Medical Group
  • APAC (Pinnacle Health Resources)
  • Cal Care Independent Practice Association
  • Clinica Medica San Miguel
  • Gateway Independent Practice Association (Pinnacle Health Resources)
  • Health Excel Independent Practice Association
  • Los Angeles Medical Center (LAMC)
  • Maverick Medical Group
  • North West Orange County Medical Group
  • Nuestra Family Medical Group
  • Pacific Healthcare Independent Practice Association
  • Pinnacle Health Resources
  • Pomona Valley Medical Group
  • ProCare (Prospect)
  • Prospect Health Network
  • Prospect Health Services Texas
  • Prospect Medical Group
  • Prospect Provider Group Rhode Island
  • Prospect Sherman Oaks Medical Group
  • United Care Medical Group (UCMG) (Regal)
  • Upland Medical Group
  • Vantage Medical Group
  • Vantage Medical Group Encounters
  • CAL CARE IPA
  • GATEWAY IPA (PINNACLE HEALTH RESOURCES)
  • HEALTH EXCEL IPA