DirectCare
dentalmedical
Summary
DirectCare is a dental and medical payer. Claims route under payer ID 55731, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and dental claims.
At a glance
- Payer ID
55731Also seen as 1654, 1719
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 |
| Dental claims (837D) | Not required | Immediate |
Common questions
- What is the payer ID for DirectCare?
- The payer ID for DirectCare is 55731. Alternate IDs seen across clearinghouses include 1654, 1719.
- What types of coverage does DirectCare offer?
- DirectCare covers dental and medical.
- Can I submit claims to DirectCare electronically?
- Yes. DirectCare is reachable through clearinghouses for professional claims, institutional claims, and dental claims. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
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 Spot something out of date?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.