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CredNet

Health Partners Plans

dentalmedical

Summary

Health Partners Plans is a dental and medical payer. Claims route under payer ID 80142, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
80142Also seen as 00097, 2822, 4572, 80142MA, HPART, HPPHIL
Also known as
Health Partners PA, Health Partners Plans CHIP, Health Partners Plans Medicaid, Jefferson Health Plans, Jefferson Health Plans Individual and Family

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
Claim status (276/277)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 Health Partners Plans?
The payer ID for Health Partners Plans is 80142. Alternate IDs seen across clearinghouses include 00097, 2822, 4572, 80142MA.
Does Health Partners Plans require ERA enrollment?
Yes. Health Partners Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does Health Partners Plans offer?
Health Partners Plans covers dental and medical.
Can I submit claims to Health Partners Plans electronically?
Yes. Health Partners Plans is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.