Johns Hopkins Health Plans
dentalmedical
Summary
Johns Hopkins Health Plans is a dental and medical payer operating in Maryland. Claims route under payer ID 52189, with 6 alternate IDs in use across clearinghouses. 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
52189Also seen as 11132, 1592, 52189A, 5432, JHHP, JHOHP- Also known as
- Johns Hopkins Employee Health Plan, Johns Hopkins Employer Health Programs (EHP), Johns Hopkins HealthCare LLC, Johns Hopkins Priority Partners, Priority Partners
- Service area
- MD
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 Johns Hopkins Health Plans?
- The payer ID for Johns Hopkins Health Plans is 52189. Alternate IDs seen across clearinghouses include 11132, 1592, 52189A, 5432.
- Does Johns Hopkins Health Plans require ERA enrollment?
- Yes. Johns Hopkins Health Plans requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Johns Hopkins Health Plans cover?
- Johns Hopkins Health Plans operates in MD. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Johns Hopkins Health Plans offer?
- Johns Hopkins Health Plans covers dental and medical.
- Can I submit claims to Johns Hopkins Health Plans electronically?
- Yes. Johns Hopkins Health Plans is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.