CommuniCare Advantage
medical
Summary
CommuniCare Advantage is a medical payer operating in Indiana, Maryland, and Ohio. Claims route under payer ID 34525, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
34525Also seen as 5095, 70022, 9144- Service area
- IN, MD, OH
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for CommuniCare Advantage?
- The payer ID for CommuniCare Advantage is 34525. Alternate IDs seen across clearinghouses include 5095, 70022, 9144.
- Does CommuniCare Advantage require ERA enrollment?
- Yes. CommuniCare Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does CommuniCare Advantage cover?
- CommuniCare Advantage operates in IN, MD, OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does CommuniCare Advantage offer?
- CommuniCare Advantage covers medical.
- Can I submit claims to CommuniCare Advantage electronically?
- Yes. CommuniCare Advantage is reachable through clearinghouses for 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 Spot something out of date?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.