CDPHP
dentalmedicalvision
Summary
CDPHP is a dental, medical, and vision payer operating in New York. Claims route under payer ID 141641028, with 12 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
141641028Also seen as 10458, 12X03, 2987, 3786, 95491, CDPHP and 6 more- Also known as
- Capital District Physicians Health Plan, Capital District Physicians' Health Plan
- Service area
- NY
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 CDPHP?
- The payer ID for CDPHP is 141641028. Alternate IDs seen across clearinghouses include 10458, 12X03, 2987, 3786.
- Does CDPHP require ERA enrollment?
- Yes. CDPHP requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does CDPHP cover?
- CDPHP operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CDPHP offer?
- CDPHP covers dental, medical, and vision.
- Can I submit claims to CDPHP electronically?
- Yes. CDPHP 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 Spot something out of date?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.