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CredNet

Health Plans Incorporated

dentalmedicalvision

Summary

Health Plans Incorporated is a dental, medical, and vision payer. Claims route under payer ID 44273, with 6 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
44273Also seen as 00412, 10802, 1889, 1909, HLPLNS, SEZHV
Also known as
HPI, Harvard Pilgrim, Health Plans, Inc.

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 Plans Incorporated?
The payer ID for Health Plans Incorporated is 44273. Alternate IDs seen across clearinghouses include 00412, 10802, 1889, 1909.
Does Health Plans Incorporated require ERA enrollment?
Yes. Health Plans Incorporated requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does Health Plans Incorporated offer?
Health Plans Incorporated covers dental, medical, and vision.
Can I submit claims to Health Plans Incorporated electronically?
Yes. Health Plans Incorporated 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 Spot something out of date?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.