What is the payer ID for Keystone Health Plan East?

The payer ID for Keystone Health Plan East is 95056. Alternate IDs seen across clearinghouses include 12X25, 16711, 3559, 7417.

How long does Keystone Health Plan East provider enrollment take?

Keystone Health Plan East provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Keystone Health Plan East require CAQH?

Yes. Keystone Health Plan East uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Keystone Health Plan East require ERA enrollment?

Yes. Keystone Health Plan East requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Keystone Health Plan East cover?

Keystone Health Plan East operates in PA (Philadelphia region). Coverage can differ by plan and product line, so confirm the specific plan before you file.

Keystone Health Plan East

Part of Independence Health Group

Regional plandentalmedicalvision

Typical enrollment turnaround

45-90 days

Summary

Keystone Health Plan East is a regional health plan, part of Independence Health Group, offering dental, medical, and vision coverage operating in Pennsylvania. Claims route under payer ID 95056, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 45-90 days, with applications through Independence Provider Portal / NaviNet, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID: 95056Also seen as 12X25, 16711, 3559, 7417
Also known as: IBX, Independence Blue Cross, Independence Health Group, Keystone East HMO
Uses CAQH: YesApplication route: CAQH application only
Service area: PA (Philadelphia region)

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
Professional claims (837P)	Not required	Immediate
Institutional claims (837I)	Not required	Immediate
ERA / remittance (835)	Required	Same day

Common questions

What is the payer ID for Keystone Health Plan East?: The payer ID for Keystone Health Plan East is 95056. Alternate IDs seen across clearinghouses include 12X25, 16711, 3559, 7417.
How long does Keystone Health Plan East provider enrollment take?: Keystone Health Plan East provider enrollment typically takes 45-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Keystone Health Plan East require CAQH?: Yes. Keystone Health Plan East uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Keystone Health Plan East require ERA enrollment?: Yes. Keystone Health Plan East requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Keystone Health Plan East cover?: Keystone Health Plan East operates in PA (Philadelphia region). Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.