Coastal TPA

Summary

Coastal TPA is a regional health plan, part of Aspire Health Plan, offering medical coverage operating in California. Claims route under payer ID 77052, with 3 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Aspire Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

77052Also seen as 00059, 4882, 9622

Also known as

Aspire Health Plan, Coastal Management Services, Coastal TPA Incorporated, Coastal Third Party Administrator Incorporated

Uses CAQH

YesApplication route: Payer portal application

Service area

CA (Monterey County)

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 Coastal TPA?

The payer ID for Coastal TPA is 77052. Alternate IDs seen across clearinghouses include 00059, 4882, 9622.

How long does Coastal TPA provider enrollment take?

Coastal TPA provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Coastal TPA require CAQH?

Yes. Coastal TPA uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Coastal TPA require ERA enrollment?

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

What states does Coastal TPA cover?

Coastal TPA operates in CA (Monterey County). Coverage can differ by plan and product line, so confirm the specific plan before you file.

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