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CredNet

Envolve Vision of Puerto Rico

vision

Summary

Envolve Vision of Puerto Rico is a vision payer operating in Puerto Rico. Claims route under payer ID 204861241. Through clearinghouses it supports eligibility checks, professional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
204861241
Also known as
Centene Vision Services, Envolve Benefit Options, Envolve Total Vision, Inc., Envolve Vision Benefits Puerto Rico
Service area
PR

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for Envolve Vision of Puerto Rico?
The payer ID for Envolve Vision of Puerto Rico is 204861241.
Does Envolve Vision of Puerto Rico require ERA enrollment?
Yes. Envolve Vision of Puerto Rico requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does Envolve Vision of Puerto Rico cover?
Envolve Vision of Puerto Rico operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Envolve Vision of Puerto Rico offer?
Envolve Vision of Puerto Rico covers vision.
Can I submit claims to Envolve Vision of Puerto Rico electronically?
Yes. Envolve Vision of Puerto Rico is reachable through clearinghouses for eligibility checks, professional claims, and electronic remittance. Electronic claims are supported for professional (837P).

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 Spot something out of date?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.