Coverage profile
How Substrate can help you with Providence Health Plan
Substrate can help practices and billers with the following claims tasks for Providence Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Providence Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Providence Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Providence Health Plan.
Frequently asked questions
Providence Health Plan payer FAQs
How do I check claim status with Providence Health Plan?
Providers check Providence Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Providence Health Plan 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 Providence Health Plan?
The primary payer ID for Providence Health Plan is PHP01. 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 Providence Health Plan?
The provider portal for Providence Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Providence Health Plan?
The 837P and 837I payer ID for Providence Health Plan is PHP01 via Stedi.
What is the 835 payer ID for Providence Health Plan?
The 835 payer ID for Providence Health Plan is PHP01 via Stedi.
What is the 270 payer ID for Providence Health Plan?
The 270 payer IDs for Providence Health Plan are PHP01 via Stedi and 101039 via Availity.
What is the 276 payer ID for Providence Health Plan?
The 276 payer ID for Providence Health Plan is PHP01 via Stedi.
What states does Providence Health Plan operate in?
Providence Health Plan operates in CA, OR, and WA.
Routing reference
Providence 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.
| Payer name | Providence Health Plan |
|---|---|
| Operating states | CA, OR, WA |
| 837P professional claims payer IDStedi | PHP01 |
| 837I institutional claims payer IDStedi | PHP01 |
| 835 ERA payer IDStedi | PHP01Enrollment required |
| 270 eligibility payer IDStedi | PHP01 |
| 270 eligibility payer IDAvaility | 101039 |
| 276 claim status payer IDStedi | PHP01 |
Other aliases
Also known as
- 101039
- 10172
- 1540
- 4498
- 4498MA
- NFRMJ
- PHP01
- PHP03
- PROVHP
- SX133
- NP PHP medicare
- PeaceHealth Laboratories
- Providence Choice Option
- PRVDNCGOOD
- PROVIDENCE OF OREGON HEALTH PLAN
- PROVIDENCE HEALTH PLAN POWERED BY COLLECTIVE HEALTH