Coverage profile
How Substrate can help you with Senior Whole Health
Substrate can help practices and billers with the following claims tasks for Senior Whole Health.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Senior Whole Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Senior Whole Health.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Senior Whole Health.
Frequently asked questions
Senior Whole Health payer FAQs
How do I check claim status with Senior Whole Health?
Providers check Senior Whole Health via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate Senior Whole Health 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 Senior Whole Health?
The primary payer ID for Senior Whole Health is SWHMA. 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 Senior Whole Health?
The provider portal for Senior Whole Health is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for Senior Whole Health?
The 837P and 837I payer ID for Senior Whole Health is SWHMA via Stedi.
What is the 835 payer ID for Senior Whole Health?
The 835 payer ID for Senior Whole Health is SWHMA via Stedi.
What is the 270 payer ID for Senior Whole Health?
The 270 payer IDs for Senior Whole Health are SWHMA via Stedi and SWHMA via Availity.
What is the 276 payer ID for Senior Whole Health?
The 276 payer ID for Senior Whole Health is SWHMA via Stedi.
What states does Senior Whole Health operate in?
Senior Whole Health operates in ID, MA, NV, and NY.
Routing reference
Senior Whole 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.
| Payer name | Senior Whole HealthSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | ID, MA, NV, NYSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | SWHMASource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | SWHMASource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | SWHMAEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | SWHMASource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | SWHMASource: Availity payer catalog · catalog dated · matched by payer ID |
| 276 claim status payer IDStedi | SWHMASource: 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: Senior Whole Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- Availity payer catalogMatched by payer ID; matched record: SENIOR WHOLE HEALTH MASSACHUSETTS. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity 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
- 10962
- 14352
- 6085
- 83035
- 9246
- MOLINA_SWHMA
- OGAHN
- SWHMA
- Senior Whole Health SCO
- Senior Whole Health by Molina Healthcare
- Senior Whole Health of Massachusetts
- SENIOR WHOLE HEALTH MASSACHUSETTS