Coverage profile
Work The Health Plan of West Virginia 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 The Health Plan of West Virginia.
Other aliases
Also known as
- 14403
- 34150
- Hometown Health Network
- The Health Plan
- HOMETOWN34
- THE HEALTH PLAN WEST VIRGINIA
Frequently asked questions
The Health Plan of West Virginia payer FAQs
What is the payer ID for The Health Plan of West Virginia?
The primary payer ID for The Health Plan of West Virginia is 34150. 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 The Health Plan of West Virginia?
The 837P and 837I payer ID for The Health Plan of West Virginia is 34150 via Stedi.
What is the 835 payer ID for The Health Plan of West Virginia?
The 835 payer ID for The Health Plan of West Virginia is 34150 via Stedi.
What is the 270 payer ID for The Health Plan of West Virginia?
The 270 payer IDs for The Health Plan of West Virginia are 34150 via Stedi and 34150 via Availity.
What state does The Health Plan of West Virginia operate in?
The Health Plan of West Virginia operates in WV.
Routing reference
The Health Plan of West Virginia 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 | The Health Plan of West VirginiaSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | WVSource: Substrate payer directory · data last changed |
| 837P professional claims payer IDStedi | 34150Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 34150Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 34150Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 34150Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 34150Source: Availity payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
- Stedi payer catalogMatched by payer ID; matched record: The Health Plan of West Virginia. 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 records: HOMETOWN HEALTH NETWORK, THE HEALTH PLAN WEST VIRGINIA. 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.
Payer contact directory
The Health Plan of West Virginia 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) 624-6961THE HEALTH PLAN
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 624-6961 | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
| phone(888) 816-3096Phone menu guide → | Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information |
| Health Benefit Plan Coverage |
Phone and fax numbers sourced directly from the payer response
Phone menu guides
- (888) 816-3096The Health Plan Self-Funded Business Line