Supported Transactions and Enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
10658 - Payer ID
3596 - Payer ID
3815 - Payer ID
507 - Payer ID
PHPNI - Also listed as PHPNI
- Also listed as Physicians Health Plan (PHP) Northern Indiana
Coverage states
Indiana.
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes hours
Workflow Notes for This Payer
- Use 270/271 eligibility checks before visits; if your workflow cannot send them, confirm coverage through your existing non-transaction process.
- Submit 837P, 837I, or 837D based on claim type, then use 276/277 to monitor claim status.
- Complete payer enrollment before requesting or relying on 835 ERA delivery; plan a manual remittance workflow until enrollment is active.
- Do not build workflows around EFT, combined ERA/EFT, COB 271, or 275 attachments; use your established alternative processes.
Common questions
Can I submit professional, institutional, and dental claims electronically to this payer?
Yes. The supported formats are 837P for professional claims, 837I for institutional claims, and 837D for dental claims.
How can I check claim status electronically?
Use the 276/277 claim-status transaction. It is available for this payer.
Is ERA available for this payer?
Yes, but you must complete payer enrollment before using the 835 electronic remittance transaction. Until enrollment is complete, use your existing remittance workflow.
Can I use EFT or send attachments electronically?
No. EFT, combined ERA and EFT, coordination-of-benefits 271, and attachments 275 are not available for this payer.
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.
See a demo