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Simply Healthcare

The provider portal for Simply Healthcare is https://apps.availity.com/

Primary payer ID
SMPLYCompare transaction IDs ↓
Last successful claim statusWithin the past weekObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271Availity ECS

Is your practice experiencing high volumes of no response claims or denials from Simply Healthcare? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with Simply Healthcare

Substrate can help practices and billers with the following claims tasks for Simply Healthcare.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Simply Healthcare.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Simply Healthcare.

Available

Enhanced claim status

Availity ECS
Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Simply Healthcare.

Available

Frequently asked questions

Simply Healthcare payer FAQs

How do I check claim status with Simply Healthcare?

Providers check Simply Healthcare via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Simply Healthcare?

The primary payer ID for Simply Healthcare is SMPLY. 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 Simply Healthcare?

The provider portal for Simply Healthcare is https://apps.availity.com/. Available features depend on the payer and your account.

What are the 837 payer IDs for Simply Healthcare?

The 837P and 837I payer ID for Simply Healthcare is SMPLY via Stedi.

What is the 835 payer ID for Simply Healthcare?

The 835 payer ID for Simply Healthcare is SMPLY via Stedi.

What is the 270 payer ID for Simply Healthcare?

The 270 payer IDs for Simply Healthcare are SMPLY via Stedi and SMPLY via Availity.

What is the 276 payer ID for Simply Healthcare?

The 276 payer IDs for Simply Healthcare are SMPLY via Stedi and SMPLY via Availity.

What state does Simply Healthcare operate in?

Simply Healthcare operates in FL.

Resource library

Routing reference

Simply Healthcare 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.

Simply Healthcare payer name, operating states, and transaction-specific payer IDs
Payer nameSimply Healthcare
Operating statesFL
837P professional claims payer IDStediSMPLY
837I institutional claims payer IDStediSMPLY
835 ERA payer IDStediSMPLYEnrollment required
270 eligibility payer IDStediSMPLY
270 eligibility payer IDAvailitySMPLY
276 claim status payer IDStediSMPLY
276 claim status payer IDAvailitySMPLY

Payer contact directory

Simply Healthcare phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone
(800) 243-1401SUPERIOR VISION
Simply Healthcare payer phone and fax directory
Channel and numberPayer NotesDepartmentSpecialties
phone(800) 243-1401Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • SUPERIOR VISION
Vision (Optometry)
phone(800) 454-3730Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Hospital, Pharmacy
phone(800) 848-3555Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • AMERICAN SPECIALTY HEALTH
Chiropractic
phone(800) 888-1965Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • OPTUM
Mental Health
phone(844) 405-4296Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Physician Visit - Office: Well, Hospital, Pharmacy
phone(844) 405-4297Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment
  • CARELONRX
  • UTILIZATION MANAGEMENT
Chiropractic, Chiropractic, Physician Visit - Office: Well, Pharmacy
phone(844) 870-3979Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • EYEQUEST
Vision (Optometry)
phone(855) 208-6334Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(855) 373-7627Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • ICARE
Vision (Optometry)
phone(877) 468-5581Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • DENTAQUEST
Dental Care
phone(877) 711-3662Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information
  • FLORIDA MEDICAID MANAGED CARE
Dental Care
phone(410) 581-3535Other stated contextBenefit context: Other or Additional Payor
  • CAREFIRST BLUE CROSS BLUE SHIELD OF MD
Health Benefit Plan Coverage
phone(800) 244-6224Other stated contextBenefit context: Other or Additional Payor
  • CIGNA HEALTHCARE
Health Benefit Plan Coverage
phone(800) 352-2583Other stated contextBenefit context: Other or Additional Payor
  • FLORIDA BLUE
Health Benefit Plan Coverage
phone(800) 521-2227Other stated contextBenefit context: Other or Additional Payor
  • BLUE CROSS BLUE SHIELD OF TEXAS
Health Benefit Plan Coverage
phone(800) 733-8387Other stated contextBenefit context: Other or Additional Payor
  • CHAMP VA
Health Benefit Plan Coverage
phone(800) 828-7622Other stated contextBenefit context: Other or Additional Payor
  • CIGNA
Health Benefit Plan Coverage
phone(800) 880-2583Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BCBS KENTUCKY
Health Benefit Plan Coverage
phone(866) 251-1689Other stated contextBenefit context: Other or Additional Payor
  • ANTHEM BLUE CROSS BLUE SHIELD
Health Benefit Plan Coverage
phone(877) 392-9865Other stated contextBenefit context: Other or Additional Payor
  • MEDICARE PART A & PART B COVERAGE
  • MEDICARE PART B
Health Benefit Plan Coverage
phone(877) 535-2128Other stated contextBenefit context: Other or Additional Payor
  • AETNA
Health Benefit Plan Coverage

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

  • 10826
  • 1096
  • 27094
  • 8124
  • SMPLH
  • SMPLY
  • SMPLYMA
  • Simply Healthcare Plans, Inc.
  • Wellpoint
  • SIMPLYHC