Maryland Public Behavioral Health System (PBHS)
dentalmedical
Summary
Maryland Public Behavioral Health System (PBHS) is a dental and medical payer operating in Maryland. Claims route under payer ID BHOMD, with 4 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
BHOMDAlso seen as 2164, 5976, OMDBH, VBXEQ- Also known as
- Carelon Behavioral Health Maryland
- 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 |
| 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 Maryland Public Behavioral Health System (PBHS)?
- The payer ID for Maryland Public Behavioral Health System (PBHS) is BHOMD. Alternate IDs seen across clearinghouses include 2164, 5976, OMDBH, VBXEQ.
- Does Maryland Public Behavioral Health System (PBHS) require ERA enrollment?
- Yes. Maryland Public Behavioral Health System (PBHS) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Maryland Public Behavioral Health System (PBHS) cover?
- Maryland Public Behavioral Health System (PBHS) operates in MD. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Maryland Public Behavioral Health System (PBHS) offer?
- Maryland Public Behavioral Health System (PBHS) covers dental and medical.
- Can I submit claims to Maryland Public Behavioral Health System (PBHS) electronically?
- Yes. Maryland Public Behavioral Health System (PBHS) 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 Spot something out of date?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.