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CredNet

Freedom Health

Part of Elevance Health

Medicaid managed caremedical
Typical enrollment turnaround
60-120 days

Summary

Freedom Health is a Medicaid managed care organization, part of Elevance Health, offering medical coverage operating in 22 states. Claims route under payer ID 41212, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-120 days, with applications through Wellpoint Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
41212Also seen as 13286, 2100, 41212MA, 5981, COVKD, FRH01
Also known as
Freedom Health Plan, Wellpoint
Uses CAQH
YesApplication route: Payer portal application
Service area
22 states

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)RequiredSeveral weeks

Common questions

What is the payer ID for Freedom Health?
The payer ID for Freedom Health is 41212. Alternate IDs seen across clearinghouses include 13286, 2100, 41212MA, 5981.
How long does Freedom Health provider enrollment take?
Freedom Health provider enrollment typically takes 60-120 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Freedom Health require CAQH?
Yes. Freedom Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Freedom Health require ERA enrollment?
Yes. Freedom Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Freedom Health cover?
Freedom Health operates in 22 states. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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 Spot something out of date?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.