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.
| 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 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 Spot something out of date?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.