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Kelsey-Seybold

medical

Summary

Kelsey-Seybold is a medical payer operating in Texas. Claims route under payer ID KELSE, with 6 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
KELSEAlso seen as 00328, 1428, 14336, 5982, KELSI, NQGHT
Also known as
Kelsey-Seybold Clinic, KelseyCare Health Plans
Service area
TX

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Kelsey-Seybold?
The payer ID for Kelsey-Seybold is KELSE. Alternate IDs seen across clearinghouses include 00328, 1428, 14336, 5982.
Does Kelsey-Seybold require ERA enrollment?
Yes. Kelsey-Seybold requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Kelsey-Seybold cover?
Kelsey-Seybold operates in TX. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Kelsey-Seybold offer?
Kelsey-Seybold covers medical.
Can I submit claims to Kelsey-Seybold electronically?
Yes. Kelsey-Seybold is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.