Coverage profile
How Substrate can help you with Vaya Health
Substrate can help practices and billers with the following claims tasks for Vaya Health.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Vaya Health.
Frequently asked questions
Vaya Health payer FAQs
What is the payer ID for Vaya Health?
The primary payer ID for Vaya Health is 13010. 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 Vaya Health?
The 837P and 837I payer ID for Vaya Health is 13010 via Stedi.
What is the 835 payer ID for Vaya Health?
The 835 payer ID for Vaya Health is 13010 via Stedi.
What is the 270 payer ID for Vaya Health?
The 270 payer ID for Vaya Health is 13010 via Stedi.
What state does Vaya Health operate in?
Vaya Health operates in NC.
Routing reference
Vaya 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 | Vaya HealthSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | NCSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 13010Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 13010Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 13010Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 13010Source: 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: Vaya Health. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi 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
Vaya Health 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.
- Pharmacy phone
- (800) 638-3302UNITEDHEALTHCARE OF NORTH CAROLINA
| Channel and number | Payer Notes | Department | Specialties |
|---|---|---|---|
| phone(800) 638-3302 | PharmacyBenefit context: Active Coverage |
| Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug |
| phone(877) 234-4274 | PharmacyBenefit context: Active Coverage |
| Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient |
| phone(877) 283-6380 | PharmacyBenefit context: Active Coverage |
| Skilled Nursing Care, Substance Abuse, Vision (Optometry), Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Durable Medical Equipment Purchase, Durable Medical Equipment Rental, Health Benefit Plan Coverage, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Family Planning, Emergency Services, Generic Prescription Drug |
| phone(888) 738-0004 | PharmacyBenefit context: Active Coverage |
| Occupational Therapy, Physical Medicine, Speech Therapy, Skilled Nursing Care, Substance Abuse, Vision (Optometry), Professional (Physician) Visit - Outpatient, Professional (Physician) Visit - Home, Psychotherapy, Psychiatric - Inpatient, Psychiatric - Outpatient, Cardiac Rehabilitation, Pediatric, Mental Health, Urgent Care, Medical Care, Durable Medical Equipment Purchase, Ambulatory Service Center Facility, Durable Medical Equipment Rental, Surgical, Second Surgical Opinion, Health Benefit Plan Coverage, Chiropractic, Diagnostic X-Ray, Oral Surgery, Home Health Care, Hospice, Hospital, Hospital - Inpatient, Diagnostic Lab, Hospital - Outpatient, Hospital - Emergency Accident, Hospital - Emergency Medical, Hospital - Ambulatory Surgical, Long Term Care, Radiation Therapy, MRI/CAT Scan, Newborn Care, Well Baby Care, Anesthesia, Diagnostic Medical, Dialysis, Chemotherapy, Surgical Assistance, Immunizations, Routine Physical, Family Planning, Emergency Services, Pharmacy, Brand Name Prescription Drug, Generic Prescription Drug, Podiatry, Professional (Physician) Visit - Office, Professional (Physician) Visit - Inpatient |
| phone(800) 688-6696 |
|
Phone and fax numbers sourced directly from the payer response
Other aliases
Also known as
- 13010
- 6233
- VAYAH
- Smoky Mountain Center
- Smoky Mountain Local Management Entity Managed Care Organization
- SMOKY MOUNTAIN LME MCO
