HealthSCOPE Benefits
dentalmedicalvision
Summary
HealthSCOPE Benefits is a dental, medical, and vision payer. Claims route under payer ID 40026, with 2 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
40026Also seen as 8011, 9725- Also known as
- HealthSCOPE
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 HealthSCOPE Benefits?
- The payer ID for HealthSCOPE Benefits is 40026. Alternate IDs seen across clearinghouses include 8011, 9725.
- Does HealthSCOPE Benefits require ERA enrollment?
- Yes. HealthSCOPE Benefits requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does HealthSCOPE Benefits offer?
- HealthSCOPE Benefits covers dental, medical, and vision.
- Can I submit claims to HealthSCOPE Benefits electronically?
- Yes. HealthSCOPE Benefits 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 Spot something out of date?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.