NHC Advantage
medical
Summary
NHC Advantage is a medical payer operating in Missouri, South Carolina, and Tennessee. Claims route under payer ID NHC01, with 2 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
NHC01Also seen as 1213, 16595- Also known as
- National HealthCare Corporation Advantage
- Service area
- MO, SC, TN
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 NHC Advantage?
- The payer ID for NHC Advantage is NHC01. Alternate IDs seen across clearinghouses include 1213, 16595.
- Does NHC Advantage require ERA enrollment?
- Yes. NHC Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does NHC Advantage cover?
- NHC Advantage operates in MO, SC, TN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does NHC Advantage offer?
- NHC Advantage covers medical.
- Can I submit claims to NHC Advantage electronically?
- Yes. NHC Advantage 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 Spot something out of date?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.