Paradigm
medical
Summary
Paradigm is a medical payer. Claims route under payer ID J1001, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
J1001Also seen as 00142, 00178
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| 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 Paradigm?
- The payer ID for Paradigm is J1001. Alternate IDs seen across clearinghouses include 00142, 00178.
- Does Paradigm require ERA enrollment?
- Yes. Paradigm requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Paradigm offer?
- Paradigm covers medical.
- Can I submit claims to Paradigm electronically?
- Yes. Paradigm is reachable through clearinghouses for 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 Spot something out of date?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.