Coverage profile
How Substrate can help you with Provider Partners Health Plan of Pennsylvania
Substrate can help practices and billers with the following claims tasks for Provider Partners Health Plan of Pennsylvania.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Provider Partners Health Plan of Pennsylvania.
Frequently asked questions
Provider Partners Health Plan of Pennsylvania payer FAQs
What is the payer ID for Provider Partners Health Plan of Pennsylvania?
The primary payer ID for Provider Partners Health Plan of Pennsylvania is 31400. 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 Provider Partners Health Plan of Pennsylvania?
The 837P and 837I payer ID for Provider Partners Health Plan of Pennsylvania is 31400 via Stedi.
What is the 835 payer ID for Provider Partners Health Plan of Pennsylvania?
The 835 payer ID for Provider Partners Health Plan of Pennsylvania is 31400 via Stedi.
What is the 270 payer ID for Provider Partners Health Plan of Pennsylvania?
The 270 payer ID for Provider Partners Health Plan of Pennsylvania is 31400 via Stedi.
What state does Provider Partners Health Plan of Pennsylvania operate in?
Provider Partners Health Plan of Pennsylvania operates in PA.
Routing reference
Provider Partners Health Plan of Pennsylvania 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 | Provider Partners Health Plan of PennsylvaniaSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | PASource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 31400Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 31400Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 31400Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 31400Source: 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: Provider Partners Health Plan of Pennsylvania. 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
- 15555
- 2077
- 31400
- 8222
- PPHP_PA
- Provider Partners Health Plans
- PROVIDER PARTNERS HEALTH PLAN PENNSYLVANIA