HealthSpring
Part of Health Care Service Corporation
Summary
HealthSpring is a regional health plan, part of Health Care Service Corporation, offering dental, medical, and vision coverage operating in 5 states. Claims route under payer ID 63092, with 17 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through HCSC Provider Portal / Availity, and CAQH is used for credentialing data. 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
63092Also seen as 101008, 10399, 10552, 1556, 1978, 2795 and 11 more- Also known as
- Bravo Health, HCSC, HealthSpring (Bravo Health Elder Health), HealthSpring HMO Medicare Choice
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- IL, MT, NM, OK, TX
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 |
| Claim status (276/277) | 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 HealthSpring?
- The payer ID for HealthSpring is 63092. Alternate IDs seen across clearinghouses include 101008, 10399, 10552, 1556.
- How long does HealthSpring provider enrollment take?
- HealthSpring provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does HealthSpring require CAQH?
- Yes. HealthSpring uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does HealthSpring require ERA enrollment?
- Yes. HealthSpring requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does HealthSpring cover?
- HealthSpring operates in IL, MT, NM, OK, TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
Related payers
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.