What is the payer ID for Highmark Wholecare Medicare Assured?

The payer ID for Highmark Wholecare Medicare Assured is 60550. Alternate IDs seen across clearinghouses include 2298, 2912, 60550MA, GHPMCR.

How long does Highmark Wholecare Medicare Assured provider enrollment take?

Highmark Wholecare Medicare Assured provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Highmark Wholecare Medicare Assured require CAQH?

Yes. Highmark Wholecare Medicare Assured uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Highmark Wholecare Medicare Assured require ERA enrollment?

Yes. Highmark Wholecare Medicare Assured requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Highmark Wholecare Medicare Assured cover?

Highmark Wholecare Medicare Assured operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Highmark Wholecare Medicare Assured

Part of Gateway Health Plan

Medicaid managed caredentalmedical

Typical enrollment turnaround

60-90 days

Summary

Highmark Wholecare Medicare Assured is a Medicaid managed care organization, part of Gateway Health Plan, offering dental and medical coverage operating in Pennsylvania. Claims route under payer ID 60550, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Gateway Provider Portal, 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 takes several weeks.

At a glance

Payer ID: 60550Also seen as 2298, 2912, 60550MA, GHPMCR
Also known as: Gateway Health Plan Medicare Assured
Uses CAQH: YesApplication route: Payer portal application
Service area: PA

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	Several weeks

Common questions

What is the payer ID for Highmark Wholecare Medicare Assured?: The payer ID for Highmark Wholecare Medicare Assured is 60550. Alternate IDs seen across clearinghouses include 2298, 2912, 60550MA, GHPMCR.
How long does Highmark Wholecare Medicare Assured provider enrollment take?: Highmark Wholecare Medicare Assured provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Highmark Wholecare Medicare Assured require CAQH?: Yes. Highmark Wholecare Medicare Assured uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Highmark Wholecare Medicare Assured require ERA enrollment?: Yes. Highmark Wholecare Medicare Assured requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Highmark Wholecare Medicare Assured cover?: Highmark Wholecare Medicare Assured operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.