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CredNet

CommunityCare

dentalmedical

Summary

CommunityCare is a dental and medical payer operating in Oklahoma. Claims route under payer ID 73143, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
73143Also seen as 10066, 1874, 8560, CCOOK, COM01, OKCMCR
Also known as
Community Care of Oklahoma, CommunityCare HMO, Inc., CommunityCare Life and Health, Senior Health Plan
Service area
OK

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
Claim status (276/277)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 CommunityCare?
The payer ID for CommunityCare is 73143. Alternate IDs seen across clearinghouses include 10066, 1874, 8560, CCOOK.
Does CommunityCare require ERA enrollment?
Yes. CommunityCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does CommunityCare cover?
CommunityCare operates in OK. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does CommunityCare offer?
CommunityCare covers dental and medical.
Can I submit claims to CommunityCare electronically?
Yes. CommunityCare is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.