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First Medical Puerto Rico Government Health Plan (VITAL)

dentalmedical

Summary

First Medical Puerto Rico Government Health Plan (VITAL) is a dental and medical payer operating in Puerto Rico. Claims route under payer ID GHP660537624, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
GHP660537624Also seen as 66064, 7229, FIRMED
Also known as
First Medical Puerto Rico Government Health Plan (Vital)
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
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for First Medical Puerto Rico Government Health Plan (VITAL)?
The payer ID for First Medical Puerto Rico Government Health Plan (VITAL) is GHP660537624. Alternate IDs seen across clearinghouses include 66064, 7229, FIRMED.
Does First Medical Puerto Rico Government Health Plan (VITAL) require ERA enrollment?
Yes. First Medical Puerto Rico Government Health Plan (VITAL) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does First Medical Puerto Rico Government Health Plan (VITAL) cover?
First Medical Puerto Rico Government Health Plan (VITAL) 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 Puerto Rico Government Health Plan (VITAL) offer?
First Medical Puerto Rico Government Health Plan (VITAL) covers dental and medical.
Can I submit claims to First Medical Puerto Rico Government Health Plan (VITAL) electronically?
Yes. First Medical Puerto Rico Government Health Plan (VITAL) is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).

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.