Electronic transaction support
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Enrollment required |
| Institutional claims (837I) | Enrollment required |
| Dental claims (837D) | Not supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Enrollment required |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
12M81 - Payer ID
7497 - Payer ID
PHC100680301406 - Payer ID
PHP02 - Payer ID
PHPOC - Payer ID
SX140 - Also listed as Partnership Health Plan California
- Also listed as Partnership Health Plan of California
Coverage states
California.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the electronic workflow
- Use the supported 270/271 transaction for eligibility and benefits, but do not expect it to return coordination-of-benefits information.
- Check claim status through 276/277, and complete payer enrollment before sending 837I or 837P claims.
- Complete enrollment before setting up EFT or ERA, then verify enrollment if electronic payments or remittance files do not arrive.
- Plan a separate workflow for dental claims, attachments, and combined ERA/EFT needs because these transactions are unavailable.
Common questions
Does this payer support 837P and 837I claims?
Yes. Professional 837P and institutional 837I claims are supported after the practice completes payer enrollment.
Can I check eligibility and claim status electronically?
Yes, standard eligibility and benefits are available through 270/271, and claim status is available through 276/277. Coordination-of-benefits inquiries are not supported.
Does this payer support ERA and EFT?
ERA and EFT are each supported after payer enrollment. A combined ERA and EFT transaction is not available.
Are dental claims and electronic attachments supported?
No. This payer does not support electronic dental claims through 837D or attachments through 275.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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