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CredNet

APS Healthcare Puerto Rico Inc

medical

Summary

APS Healthcare Puerto Rico Inc is a medical payer operating in Puerto Rico. Claims route under payer ID 66056, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
66056Also seen as 6857, 7638
Service area
PR

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for APS Healthcare Puerto Rico Inc?
The payer ID for APS Healthcare Puerto Rico Inc is 66056. Alternate IDs seen across clearinghouses include 6857, 7638.
Does APS Healthcare Puerto Rico Inc require ERA enrollment?
Yes. APS Healthcare Puerto Rico Inc requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does APS Healthcare Puerto Rico Inc cover?
APS Healthcare Puerto Rico Inc operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does APS Healthcare Puerto Rico Inc offer?
APS Healthcare Puerto Rico Inc covers medical.
Can I submit claims to APS Healthcare Puerto Rico Inc electronically?
Yes. APS Healthcare Puerto Rico Inc is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.