Coverage profile
How Substrate can help you with SIMPLY HEALTHCARE PLANS
Substrate can help practices and billers with the following claims tasks for SIMPLY HEALTHCARE PLANS.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with SIMPLY HEALTHCARE PLANS.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for SIMPLY HEALTHCARE PLANS.
Frequently asked questions
SIMPLY HEALTHCARE PLANS payer FAQs
How do I check claim status with SIMPLY HEALTHCARE PLANS?
Providers check SIMPLY HEALTHCARE PLANS via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
Can I automate SIMPLY HEALTHCARE PLANS 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 SIMPLY HEALTHCARE PLANS?
The primary payer ID for SIMPLY HEALTHCARE PLANS is 00199. 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 PLANS?
The provider portal for SIMPLY HEALTHCARE PLANS is https://apps.availity.com/. Available features depend on the payer and your account.
What are the 837 payer IDs for SIMPLY HEALTHCARE PLANS?
The 837P and 837I payer ID for SIMPLY HEALTHCARE PLANS is SMPLY via Stedi.
What is the 835 payer ID for SIMPLY HEALTHCARE PLANS?
The 835 payer ID for SIMPLY HEALTHCARE PLANS is SMPLY via Stedi.
What is the 270 payer ID for SIMPLY HEALTHCARE PLANS?
The 270 payer IDs for SIMPLY HEALTHCARE PLANS are SMPLY via Stedi and SMPLY via Availity.
What is the 276 payer ID for SIMPLY HEALTHCARE PLANS?
The 276 payer IDs for SIMPLY HEALTHCARE PLANS are SMPLY via Stedi and SMPLY via Availity.
What states does SIMPLY HEALTHCARE PLANS operate in?
SIMPLY HEALTHCARE PLANS operates in FL and TN.
Routing reference
SIMPLY HEALTHCARE PLANS 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 | SIMPLY HEALTHCARE PLANSSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | FL, TNSource: Stedi payer catalog · catalog dated · matched by payer nameSource: United Clearinghouse payer catalog · matched by payer name |
| 837P professional claims payer IDStedi | SMPLYSource: Stedi payer catalog · catalog dated · matched by payer name |
| 837I institutional claims payer IDStedi | SMPLYSource: Stedi payer catalog · catalog dated · matched by payer name |
| 835 ERA payer IDStedi | SMPLYEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDStedi | SMPLYSource: Stedi payer catalog · catalog dated · matched by payer name |
| 270 eligibility payer IDAvaility | SMPLYSource: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | SMPLYSource: Stedi payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDAvaility | SMPLYSource: Availity payer catalog · catalog dated · matched by payer name |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .
- Stedi payer catalogMatched by payer name; matched record: Simply Healthcare. 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 name; matched record: SIMPLY HEALTHCARE. 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 ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Simply Healthcare. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse 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
- SIMPLYHEALTHCARE
- SIMPLY HEALTHCARE