Evolent Specialty - Cardiology
medicalvision
Summary
Evolent Specialty - Cardiology is a medical and vision payer. Claims route under payer ID NCHCA, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
NCHCAAlso seen as 5238
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 |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Evolent Specialty - Cardiology?
- The payer ID for Evolent Specialty - Cardiology is NCHCA. Alternate IDs seen across clearinghouses include 5238.
- Does Evolent Specialty - Cardiology require ERA enrollment?
- Yes. Evolent Specialty - Cardiology requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Evolent Specialty - Cardiology offer?
- Evolent Specialty - Cardiology covers medical and vision.
- Can I submit claims to Evolent Specialty - Cardiology electronically?
- Yes. Evolent Specialty - Cardiology is reachable through clearinghouses for 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 Spot something out of date?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.