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Health Network One

medical

Summary

Health Network One is a medical payer. Claims route under payer ID 65062, with 5 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 activates within hours.

At a glance

Payer ID
65062Also seen as 12K89, 5229, 65062MA, 6910, A1680
Also known as
Care Access Health Plan, Centene, HN1

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)RequiredSame day

Common questions

What is the payer ID for Health Network One?
The payer ID for Health Network One is 65062. Alternate IDs seen across clearinghouses include 12K89, 5229, 65062MA, 6910.
Does Health Network One require ERA enrollment?
Yes. Health Network One requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does Health Network One offer?
Health Network One covers medical.
Can I submit claims to Health Network One electronically?
Yes. Health Network One 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 Spot something out of date?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.