Healthplex
dentalvision
Summary
Healthplex is a dental and vision payer. Claims route under payer ID 11271. Through clearinghouses it supports eligibility checks, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
11271- Also known as
- Healthplex, Inc.
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 |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Healthplex?
- The payer ID for Healthplex is 11271.
- Does Healthplex require ERA enrollment?
- Yes. Healthplex requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Healthplex offer?
- Healthplex covers dental and vision.
- Can I submit claims to Healthplex electronically?
- Yes. Healthplex is reachable through clearinghouses for eligibility checks, dental claims, and electronic remittance. Electronic claims are supported for dental (837D).
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 Spot something out of date?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.