Clover Health
Part of Clover Health Investments
Summary
Clover Health is a regional health plan, part of Clover Health Investments, offering dental, medical, and vision coverage operating in 8 states. Claims route under payer ID CRPHP, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Clover Health Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, and institutional claims.
At a glance
- Payer ID
CRPHPAlso seen as 10822, 77023- Also known as
- CarePoint Advantage
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- 8 states (Medicare Advantage)
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 |
Common questions
- What is the payer ID for Clover Health?
- The payer ID for Clover Health is CRPHP. Alternate IDs seen across clearinghouses include 10822, 77023.
- How long does Clover Health provider enrollment take?
- Clover Health provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Clover Health require CAQH?
- Yes. Clover Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- What states does Clover Health cover?
- Clover Health operates in 8 states (Medicare Advantage). Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Clover Health offer?
- Clover Health covers dental, medical, and vision.
Related payers
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 Spot something out of date?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.