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Hometown Health Plan MA HMO

dentalmedical

Summary

Hometown Health Plan MA HMO is a dental and medical payer operating in Nevada. Claims route under payer ID 58379, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
58379Also seen as 00094, 8155
Also known as
Meritain, P3 Health Partners Nevada
Service area
NV

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Hometown Health Plan MA HMO?
The payer ID for Hometown Health Plan MA HMO is 58379. Alternate IDs seen across clearinghouses include 00094, 8155.
Does Hometown Health Plan MA HMO require ERA enrollment?
Yes. Hometown Health Plan MA HMO requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Hometown Health Plan MA HMO cover?
Hometown Health Plan MA HMO operates in NV. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Hometown Health Plan MA HMO offer?
Hometown Health Plan MA HMO covers dental and medical.
Can I submit claims to Hometown Health Plan MA HMO electronically?
Yes. Hometown Health Plan MA HMO is reachable through clearinghouses for professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and 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 Spot something out of date?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.