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Insight Benefit Administrators

medical

Summary

Insight Benefit Administrators is a medical payer. Claims route under payer ID 38254, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
38254Also seen as 2531, 5404
Also known as
Activa Benefit Services LLC

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
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Insight Benefit Administrators?
The payer ID for Insight Benefit Administrators is 38254. Alternate IDs seen across clearinghouses include 2531, 5404.
Does Insight Benefit Administrators require ERA enrollment?
Yes. Insight Benefit Administrators requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does Insight Benefit Administrators offer?
Insight Benefit Administrators covers medical.
Can I submit claims to Insight Benefit Administrators electronically?
Yes. Insight Benefit Administrators is reachable through clearinghouses for professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

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 Spot something out of date?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.