Aspire Health Plan

Summary

Aspire Health Plan is a regional health plan offering medical coverage operating in California. Claims route under payer ID 46156, with 5 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Aspire Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

46156Also seen as 1163, 14354, 2507, 46156MA, ASPHPL

Also known as

Carelon Health - Palliative Care

Uses CAQH

YesApplication route: Payer portal application

Service area

CA (Monterey County)

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Aspire Health Plan?

The payer ID for Aspire Health Plan is 46156. Alternate IDs seen across clearinghouses include 1163, 14354, 2507, 46156MA.

How long does Aspire Health Plan provider enrollment take?

Aspire Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Aspire Health Plan require CAQH?

Yes. Aspire Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Aspire Health Plan require ERA enrollment?

Yes. Aspire Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Aspire Health Plan cover?

Aspire Health Plan operates in CA (Monterey County). Coverage can differ by plan and product line, so confirm the specific plan before you file.

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