Evolutions Healthcare Systems
dentalmedical
Summary
Evolutions Healthcare Systems is a dental and medical payer. Claims route under payer ID 59313, 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
59313Also seen as 3956, 4438
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 Evolutions Healthcare Systems?
- The payer ID for Evolutions Healthcare Systems is 59313. Alternate IDs seen across clearinghouses include 3956, 4438.
- Does Evolutions Healthcare Systems require ERA enrollment?
- Yes. Evolutions Healthcare Systems requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does Evolutions Healthcare Systems offer?
- Evolutions Healthcare Systems covers dental and medical.
- Can I submit claims to Evolutions Healthcare Systems electronically?
- Yes. Evolutions Healthcare Systems 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 Spot something out of date?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.