Dean Health Plan

Summary

Dean Health Plan is a regional health plan, part of Medica Health Plans, offering dental and medical coverage operating in 9 states. Claims route under payer ID 41822, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Medica 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 activates within hours.

At a glance

Payer ID

41822Also seen as 1870, 3921

Also known as

Medica, Medica - Dean Health Plan, Prevea360, WellFirst

Uses CAQH

YesApplication route: CAQH application only

Service area

MN, ND, SD, WI, NE, IA, KS, MO, OK

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 Dean Health Plan?

The payer ID for Dean Health Plan is 41822. Alternate IDs seen across clearinghouses include 1870, 3921.

How long does Dean Health Plan provider enrollment take?

Dean Health Plan provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Dean Health Plan require CAQH?

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

Does Dean Health Plan require ERA enrollment?

Yes. Dean Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Dean Health Plan cover?

Dean Health Plan operates in MN, ND, SD, WI, NE, IA, KS, MO, OK. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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