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Keystone First Community HealthChoices

medical

Summary

Keystone First Community HealthChoices is a medical payer operating in Pennsylvania. Claims route under payer ID 42344, with 4 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
42344Also seen as 1093, 12271, 8121, KSFCHC
Also known as
Keystone Family Health Plan, Keystone First CHC, Vista Health Plan
Service area
PA

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
Claim status (276/277)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 Keystone First Community HealthChoices?
The payer ID for Keystone First Community HealthChoices is 42344. Alternate IDs seen across clearinghouses include 1093, 12271, 8121, KSFCHC.
Does Keystone First Community HealthChoices require ERA enrollment?
Yes. Keystone First Community HealthChoices requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Keystone First Community HealthChoices cover?
Keystone First Community HealthChoices operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Keystone First Community HealthChoices offer?
Keystone First Community HealthChoices covers medical.
Can I submit claims to Keystone First Community HealthChoices electronically?
Yes. Keystone First Community HealthChoices 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 Spot something out of date?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.