Clover Health

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 13285, with 4 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, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

13285Also seen as 13285MA, 5666, 6433, CLOVE

Also known as

Clover Health LLC

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.

Common questions

What is the payer ID for Clover Health?

The payer ID for Clover Health is 13285. Alternate IDs seen across clearinghouses include 13285MA, 5666, 6433, CLOVE.

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.

Does Clover Health require ERA enrollment?

Yes. Clover Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

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.

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