iCare Health Options TPA
medicalvision
Summary
iCare Health Options TPA is a medical and vision payer. Claims route under payer ID 26054, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports professional claims and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
26054Also seen as 5299- Also known as
- VSP Vision, iCare Health Options Third Party Administrator
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for iCare Health Options TPA?
- The payer ID for iCare Health Options TPA is 26054. Alternate IDs seen across clearinghouses include 5299.
- Does iCare Health Options TPA require ERA enrollment?
- Yes. iCare Health Options TPA requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does iCare Health Options TPA offer?
- iCare Health Options TPA covers medical and vision.
- Can I submit claims to iCare Health Options TPA electronically?
- Yes. iCare Health Options TPA is reachable through clearinghouses for professional claims and electronic remittance. Electronic claims are supported for professional (837P).
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 Spot something out of date?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.