Coverage profile
Work SilverSummit HealthPlan 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.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with SilverSummit HealthPlan.
Other aliases
Also known as
- 11229
- 1798
- 2916
- NVSIL
- Silver Summit Health Plan
2027 maternity billing research
When does SilverSummit HealthPlan change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate medical maternity template; the exact SilverSummit product, state, program, adoption and effective date require verification.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
SilverSummit HealthPlan payer FAQs
What is the payer ID for SilverSummit HealthPlan?
The primary payer ID for SilverSummit HealthPlan is 11229. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
Routing reference
SilverSummit HealthPlan 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 | SilverSummit HealthPlanSource: 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.