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First Medical Health Plan

medical

Summary

First Medical Health Plan is a medical payer operating in Puerto Rico. Claims route under payer ID 37624, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
37624Also seen as 5688, 66053, 660537624, 7221, 8646, RP084
Also known as
First Medical Health Plan Incorporated (IMC), First Medical Health Plan Incorporated (International Medical Center)
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
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for First Medical Health Plan?
The payer ID for First Medical Health Plan is 37624. Alternate IDs seen across clearinghouses include 5688, 66053, 660537624, 7221.
Does First Medical Health Plan require ERA enrollment?
Yes. First Medical Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does First Medical Health Plan cover?
First Medical Health Plan operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does First Medical Health Plan offer?
First Medical Health Plan covers medical.
Can I submit claims to First Medical Health Plan electronically?
Yes. First Medical Health Plan is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.