CareFactor
dentalmedical
Summary
CareFactor is a dental and medical payer. Claims route under payer ID 31074, with 1 alternate ID 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
31074Also seen as 00051- Also known as
- EBMC, Employee Benefit Management Corporation
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 CareFactor?
- The payer ID for CareFactor is 31074. Alternate IDs seen across clearinghouses include 00051.
- Does CareFactor require ERA enrollment?
- Yes. CareFactor requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does CareFactor offer?
- CareFactor covers dental and medical.
- Can I submit claims to CareFactor electronically?
- Yes. CareFactor 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 Spot something out of date?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.