HealthSun Health Plans
Part of HealthSun Health Plans, Inc.
Summary
HealthSun Health Plans is a regional health plan, part of HealthSun Health Plans, Inc., offering medical coverage operating in Florida. Claims route under payer ID HESUN, with 2 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through HealthSun Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
HESUNAlso seen as 2105, 6671- Also known as
- HealthSun Health Plan
- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- FL (South Florida)
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 | A few days |
Common questions
- What is the payer ID for HealthSun Health Plans?
- The payer ID for HealthSun Health Plans is HESUN. Alternate IDs seen across clearinghouses include 2105, 6671.
- How long does HealthSun Health Plans provider enrollment take?
- HealthSun Health Plans provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does HealthSun Health Plans require CAQH?
- Yes. HealthSun Health Plans uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- Does HealthSun Health Plans require ERA enrollment?
- Yes. HealthSun Health Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does HealthSun Health Plans cover?
- HealthSun Health Plans operates in FL (South Florida). 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 Spot something out of date?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.