Dignity Health Management Services
dentalmedical
Summary
Dignity Health Management Services is a dental and medical payer operating in California. Claims route under payer ID 11065, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
11065Also seen as 4607, 6100, GMCARE, MCS01, MCS03- Also known as
- CommonSpirit Health, DHMSO, Dignity Health Medical Network (Santa Cruz), GemCare, GemCare Health Plan
- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Dignity Health Management Services?
- The payer ID for Dignity Health Management Services is 11065. Alternate IDs seen across clearinghouses include 4607, 6100, GMCARE, MCS01.
- Does Dignity Health Management Services require ERA enrollment?
- Yes. Dignity Health Management Services requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Dignity Health Management Services cover?
- Dignity Health Management Services operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Dignity Health Management Services offer?
- Dignity Health Management Services covers dental and medical.
- Can I submit claims to Dignity Health Management Services electronically?
- Yes. Dignity Health Management Services is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.