Enterprise Group Planning
medical
Summary
Enterprise Group Planning is a medical payer. Claims route under payer ID EGPIN, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
EGPINAlso seen as 3014, 8263- Also known as
- Enterprise Group Planning, Inc.
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 |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for Enterprise Group Planning?
- The payer ID for Enterprise Group Planning is EGPIN. Alternate IDs seen across clearinghouses include 3014, 8263.
- Does Enterprise Group Planning require ERA enrollment?
- Yes. Enterprise Group Planning requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does Enterprise Group Planning offer?
- Enterprise Group Planning covers medical.
- Can I submit claims to Enterprise Group Planning electronically?
- Yes. Enterprise Group Planning is reachable through clearinghouses for 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 Spot something out of date?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.