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Atrio Health Plans

dentalmedical

Summary

Atrio Health Plans is a dental and medical payer operating in Nevada and Oregon. Claims route under payer ID ATRIO, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
ATRIOAlso seen as 12269, 4799, 5934, MPCHA, Z1351, Z1351MA
Service area
NV, OR

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Atrio Health Plans?
The payer ID for Atrio Health Plans is ATRIO. Alternate IDs seen across clearinghouses include 12269, 4799, 5934, MPCHA.
Does Atrio Health Plans require ERA enrollment?
Yes. Atrio Health Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Atrio Health Plans cover?
Atrio Health Plans operates in NV, OR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Atrio Health Plans offer?
Atrio Health Plans covers dental and medical.
Can I submit claims to Atrio Health Plans electronically?
Yes. Atrio Health Plans is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.