HealthCare Partners
medical
Summary
HealthCare Partners is a medical payer operating in New York. Claims route under payer ID 11328, with 4 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
11328Also seen as 11328MA, 1723, 2920, HCP01- Also known as
- HealthCare Partners IPA, HealthCare Partners, MSO
- Service area
- NY
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for HealthCare Partners?
- The payer ID for HealthCare Partners is 11328. Alternate IDs seen across clearinghouses include 11328MA, 1723, 2920, HCP01.
- Does HealthCare Partners require ERA enrollment?
- Yes. HealthCare Partners requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does HealthCare Partners cover?
- HealthCare Partners operates in NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does HealthCare Partners offer?
- HealthCare Partners covers medical.
- Can I submit claims to HealthCare Partners electronically?
- Yes. HealthCare Partners 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 Spot something out of date?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.