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Central Health Medicare Plan

medical

Summary

Central Health Medicare Plan is a medical payer operating in California. Claims route under payer ID CHCPI, with 2 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 takes several weeks.

At a glance

Payer ID
CHCPIAlso seen as 4666, 6198
Also known as
Central Health Managed Services Organization, Central Health Management Services Organization, Central Health Plan of California
Service area
CA

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
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Central Health Medicare Plan ?
The payer ID for Central Health Medicare Plan is CHCPI. Alternate IDs seen across clearinghouses include 4666, 6198.
Does Central Health Medicare Plan require ERA enrollment?
Yes. Central Health Medicare Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Central Health Medicare Plan cover?
Central Health Medicare Plan operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Central Health Medicare Plan offer?
Central Health Medicare Plan covers medical.
Can I submit claims to Central Health Medicare Plan electronically?
Yes. Central Health Medicare Plan 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 Spot something out of date?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.