CapRock Health Plans
dentalmedical
Summary
CapRock Health Plans is a dental and medical payer. Claims route under payer ID CAPHP, with 3 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 activates within hours.
At a glance
- Payer ID
CAPHPAlso seen as 10660, 5848, CAPROK- Also known as
- Caprock Health Plans
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 | Same day |
Common questions
- What is the payer ID for CapRock Health Plans?
- The payer ID for CapRock Health Plans is CAPHP. Alternate IDs seen across clearinghouses include 10660, 5848, CAPROK.
- Does CapRock Health Plans require ERA enrollment?
- Yes. CapRock Health Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does CapRock Health Plans offer?
- CapRock Health Plans covers dental and medical.
- Can I submit claims to CapRock Health Plans electronically?
- Yes. CapRock Health Plans 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 Spot something out of date?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.