Astrana Health
medical
Summary
Astrana Health is a medical payer operating in California. Claims route under payer ID NMM04, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
NMM04Also seen as 3000, 8247, ACMG1- Also known as
- AlphaCare Medical Group
- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for Astrana Health?
- The payer ID for Astrana Health is NMM04. Alternate IDs seen across clearinghouses include 3000, 8247, ACMG1.
- Does Astrana Health require ERA enrollment?
- Yes. Astrana Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does Astrana Health cover?
- Astrana Health operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Astrana Health offer?
- Astrana Health covers medical.
- Can I submit claims to Astrana Health electronically?
- Yes. Astrana Health 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 Spot something out of date?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.