CareSource (Common Ground Healthcare Cooperative )
medicalvision
Summary
CareSource (Common Ground Healthcare Cooperative ) is a medical and vision payer operating in Wisconsin. Claims route under payer ID 77170, with 3 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
77170Also seen as 12272, 6674, 6778- Also known as
- CGHC
- Service area
- WI
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 |
| Claim status (276/277) | 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 CareSource (Common Ground Healthcare Cooperative )?
- The payer ID for CareSource (Common Ground Healthcare Cooperative ) is 77170. Alternate IDs seen across clearinghouses include 12272, 6674, 6778.
- Does CareSource (Common Ground Healthcare Cooperative ) require ERA enrollment?
- Yes. CareSource (Common Ground Healthcare Cooperative ) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CareSource (Common Ground Healthcare Cooperative ) cover?
- CareSource (Common Ground Healthcare Cooperative ) operates in WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CareSource (Common Ground Healthcare Cooperative ) offer?
- CareSource (Common Ground Healthcare Cooperative ) covers medical and vision.
- Can I submit claims to CareSource (Common Ground Healthcare Cooperative ) electronically?
- Yes. CareSource (Common Ground Healthcare Cooperative ) 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.