Harvard Community Health Plan
medical
Summary
Harvard Community Health Plan is a medical payer. Claims route under payer ID 04245, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
04245Also seen as 04245MA, 7105, 7619
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 | Several weeks |
Common questions
- What is the payer ID for Harvard Community Health Plan?
- The payer ID for Harvard Community Health Plan is 04245. Alternate IDs seen across clearinghouses include 04245MA, 7105, 7619.
- Does Harvard Community Health Plan require ERA enrollment?
- Yes. Harvard Community Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Harvard Community Health Plan offer?
- Harvard Community Health Plan covers medical.
- Can I submit claims to Harvard Community Health Plan electronically?
- Yes. Harvard Community Health Plan 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 Spot something out of date?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.