Basic Plus
medical
Summary
Basic Plus is a medical payer. Claims route under payer ID 41204, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims and institutional claims.
At a glance
- Payer ID
41204Also seen as 1203, 3541
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 |
Common questions
- What is the payer ID for Basic Plus?
- The payer ID for Basic Plus is 41204. Alternate IDs seen across clearinghouses include 1203, 3541.
- What types of coverage does Basic Plus offer?
- Basic Plus covers medical.
- Can I submit claims to Basic Plus electronically?
- Yes. Basic Plus is reachable through clearinghouses for professional claims and institutional claims. 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 Spot something out of date?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.