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Check eligibility on Providence Health Plan (Collective Health). Payer ID 36481

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Bundled codes for maternity are deleted January 1, 2027Get ready for the change >>

Coverage profile

Work Providence Health Plan (Collective Health) across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Providence Health Plan (Collective Health).

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Providence Health Plan (Collective Health).

Available

Other aliases

Also known as

  • 36481
  • PROVIDENCE HEALTH PLAN POWERED BY COLLECTIVE HEALTH
  • COLLECTIVE

Frequently asked questions

Providence Health Plan (Collective Health) payer FAQs

How do I check claim status with Providence Health Plan (Collective Health)?

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

What is the payer ID for Providence Health Plan (Collective Health)?

The primary payer ID for Providence Health Plan (Collective Health) is 36481. 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 (Collective Health)?

The provider portal for Providence Health Plan (Collective Health) is https://apps.availity.com/. Available features depend on the payer and your account.

Routing reference

Providence Health Plan (Collective 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.

Providence Health Plan (Collective Health) payer name, operating states, and transaction-specific payer IDs
Payer nameProvidence Health Plan (Collective Health)Source: Substrate payer directory · data last changed

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Payer contact directory

Providence Health Plan (Collective Health) phone and fax numbers

Phone menu guides

  • (855) 383-3585Providence Health Plan Provider Support (Collective Health)

Not affiliated with Providence Health Plan (Collective Health) or BCBSA.

Confirm routing with your clearinghouse. Report an error

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.