Coverage profile
How Substrate can help you with Providence PACE
Substrate can help practices and billers with the following claims tasks for Providence PACE.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Providence PACE.
Frequently asked questions
Providence PACE payer FAQs
What is the payer ID for Providence PACE?
The primary payer ID for Providence PACE is 77250. 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 Providence PACE?
The 837P and 837I payer ID for Providence PACE is 77250 via Stedi.
What is the 835 payer ID for Providence PACE?
The 835 payer ID for Providence PACE is 77250 via Stedi.
What is the 270 payer ID for Providence PACE?
The 270 payer ID for Providence PACE is 77250 via Stedi.
What states does Providence PACE operate in?
Providence PACE operates in CA, OR, and WA.
Routing reference
Providence PACE 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 PACESource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | CA, OR, WASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 77250Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 77250Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 77250Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 77250Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: Providence PACE. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.
Other aliases
Also known as
- 77240
- 77250
- 77265
- Providence PACE CA
- Providence Program of All-Inclusive Care for the Elderly California
- Providence Program of All-Inclusive Care for the Elderly, California
