Edenbridge Health
dentalmedical
Summary
Edenbridge Health is a dental and medical payer operating in Maryland. Claims route under payer ID R3491. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
R3491- Also known as
- Edenbridge PACE of West Baltimore
- Service area
- MD
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 |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for Edenbridge Health?
- The payer ID for Edenbridge Health is R3491.
- Does Edenbridge Health require ERA enrollment?
- Yes. Edenbridge Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does Edenbridge Health cover?
- Edenbridge Health operates in MD. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Edenbridge Health offer?
- Edenbridge Health covers dental and medical.
- Can I submit claims to Edenbridge Health electronically?
- Yes. Edenbridge Health is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. 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 Spot something out of date?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.