Aspirus Health Plan
dentalmedical
Summary
Aspirus Health Plan is a dental and medical payer operating in Connecticut and Wisconsin. Claims route under payer ID 41147, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
41147Also seen as 100694, 10169, 3410, 510, 8578, PRFONE and 1 more- Also known as
- Aspirus Arise, PreferredOne Minnesota
- Service area
- CT, WI
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Aspirus Health Plan?
- The payer ID for Aspirus Health Plan is 41147. Alternate IDs seen across clearinghouses include 100694, 10169, 3410, 510.
- Does Aspirus Health Plan require ERA enrollment?
- Yes. Aspirus Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Aspirus Health Plan cover?
- Aspirus Health Plan operates in CT, WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Aspirus Health Plan offer?
- Aspirus Health Plan covers dental and medical.
- Can I submit claims to Aspirus Health Plan electronically?
- Yes. Aspirus Health Plan is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.