Dean Health Plan

Summary

Dean Health Plan is a regional health plan, part of Quartz Health Solutions, offering dental, medical, and vision coverage operating in 4 states. Claims route under payer ID 39113, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Quartz Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

39113Also seen as 10653, 14468, 1497, 16566, 3581, DEAN1 and 2 more

Also known as

Chorus Community Health Plan (CCHP), Dean Advantage, Dean Commercial, Dean Cost, Dean Health Plan by Medica

Uses CAQH

YesApplication route: CAQH application only

Service area

WI, IL, IA, MN

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 39113. Alternate IDs seen across clearinghouses include 10653, 14468, 1497, 16566.

How long does Dean Health Plan provider enrollment take?

Dean Health Plan provider enrollment typically takes 60-90 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 WI, IL, IA, MN. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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