Coverage profile
How Substrate can help you with WellSense Health Plan
Substrate can help practices and billers with the following claims tasks for WellSense Health Plan.
Claim status
EDI 276/277The Substrate Claim Status Agent can check clearinghouse claim status for your practice with WellSense Health Plan.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with WellSense Health Plan.
Payer intelligence
Observed adjudication timing
How long completed claims in Substrate’s aggregate network took from payer receipt to the 835 payment date.
Median time to payment
17 days- 10% of adjudications by
- 14 days
- 90% of adjudications by
- 20 days
- Applicable state coverage
- MA
- Current As Of
- July 2026
Five-month median trend
Days to 835 paymentView chart data as a table
| Service month | Median | 10% of adjudications by | 90% of adjudications by | Completed claims | Coverage |
|---|---|---|---|---|---|
| Apr | 19 days | 14 days | 20 days | 538 | MA |
| May | 18.4 days | 14 days | 20 days | 425 | MA |
| Jun | 19 days | 14 days | 20 days | 524 | MA |
| Jul | 17 days | 14 days | 20 days | 183 | MA |
| Aug | No qualified data | ||||
Frequently asked questions
WellSense Health Plan payer FAQs
How do I check claim status with WellSense Health Plan?
Providers check WellSense Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.
What is the payer ID for WellSense Health Plan?
The primary payer ID for WellSense Health Plan is 13337. 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 WellSense Health Plan?
The 837P and 837I payer ID for WellSense Health Plan is 13337 via Stedi.
What is the 835 payer ID for WellSense Health Plan?
The 835 payer ID for WellSense Health Plan is 13337 via Stedi.
What is the 270 payer ID for WellSense Health Plan?
The 270 payer IDs for WellSense Health Plan are 13337 via Stedi and 100957 and 10814 via Availity.
What is the 276 payer ID for WellSense Health Plan?
The 276 payer ID for WellSense Health Plan is 13337 via Stedi.
What states does WellSense Health Plan operate in?
WellSense Health Plan operates in MA and NH.
Routing reference
WellSense Health Plan 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 | WellSense Health PlanSource: Substrate payer directory · last refreshed |
|---|---|
| Operating states | MA, NHSource: Substrate payer directory · last refreshed |
| 837P professional claims payer IDStedi | 13337Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 837I institutional claims payer IDStedi | 13337Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 835 ERA payer IDStedi | 13337Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDStedi | 13337Source: Stedi payer catalog · catalog dated · matched by payer ID |
| 270 eligibility payer IDAvaility | 10095710814Source: Availity payer catalog · catalog dated · matched by payer name |
| 276 claim status payer IDStedi | 13337Source: 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: WellSense Health Plan. 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 records: BOSTON MEDICAL CENTER HEALTHNET PLAN, WELL SENSE. 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.
Other aliases
Also known as
- 00074
- 100957
- 10556
- 10814
- 13337
- 13337MA
- 2921
- 3818
- BMCHLT
- BMCHN
- QWLGM
- RYCDO
- S3337
- BMC HealthNet Plan
- Boston Medical Center Health Plan
- Boston Medical Center HealthNet Plan
- Boston Medical Center Healthnet
- Well Sense
- WELL SENSE HEALTH PLAN