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Physicians Health Plan Third Party Administrator Services

This payer supports electronic institutional (837I) and professional (837P) claims, plus claim-status inquiries and responses (276/277). Eligibility and benefits (270/271), dental claims (837D), coordination of benefits (271), attachments (275), and EFT, including combined ERA/EFT, are unavailable; ERA (835) requires payer enrollment.

Primary payer ID30031
Directory IDJUPQM
States1

Supported electronic transactions

TransactionStatus
Eligibility & benefits (270/271)Not supported
Claim status (276/277)Supported
Professional claims (837P)Supported
Institutional claims (837I)Supported
Dental claims (837D)Not supported
Electronic remittance (ERA 835)Enrollment required
Electronic funds transfer (EFT)Not supported
ERA + EFT combinedNot supported
Coordination of benefits (271)Not supported
Attachments (275)Not supported

Other payer IDs and names

Coverage states

Indiana.

Enrollment requirements

Plan around transaction gaps

Common questions

Can I submit 837I and 837P claims electronically to this payer?

Yes. Both institutional 837I and professional 837P claims are supported.

Can I check claim status electronically?

Yes. Claim-status transactions using 276/277 are supported.

How do I receive ERA 835 files from this payer?

ERA 835 is supported only after your practice completes payer enrollment. Complete that enrollment before expecting electronic remittance through Hero EMR.

Does this payer support eligibility, EFT, or attachments?

No. Eligibility and benefits (270/271), EFT, and attachments (275) are unavailable. Dental 837D and coordination of benefits (271) are also unavailable.

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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Payer connectivity data last synced 2026-05-26. Compiled by Hero EMR from its clearinghouse network, which is built on the Stedi public payer network. Support status can change; confirm during onboarding. Back to the payer directory.