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CredNet

Carelon Health of Pennsylvania

medical

Summary

Carelon Health of Pennsylvania is a medical payer. Claims route under payer ID BHOPA, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, and institutional claims.

At a glance

Payer ID
BHOPAAlso seen as 2885, 8089

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
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate

Common questions

What is the payer ID for Carelon Health of Pennsylvania?
The payer ID for Carelon Health of Pennsylvania is BHOPA. Alternate IDs seen across clearinghouses include 2885, 8089.
What types of coverage does Carelon Health of Pennsylvania offer?
Carelon Health of Pennsylvania covers medical.
Can I submit claims to Carelon Health of Pennsylvania electronically?
Yes. Carelon Health of Pennsylvania is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.