Skip to main content
CredNet

HealthLink

medical

Summary

HealthLink is a medical payer. Claims route under payer ID 90001, with 3 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 activates within hours.

At a glance

Payer ID
90001Also seen as 16697, 4448, 8508
Also known as
Healthlink PPO, National Capital Preferred Provider Organization (NCPPO)

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)RequiredSame day

Common questions

What is the payer ID for HealthLink?
The payer ID for HealthLink is 90001. Alternate IDs seen across clearinghouses include 16697, 4448, 8508.
Does HealthLink require ERA enrollment?
Yes. HealthLink requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does HealthLink offer?
HealthLink covers medical.
Can I submit claims to HealthLink electronically?
Yes. HealthLink 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 Spot something out of date?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.