Paramount

Summary

Paramount is a Medicaid managed care organization, part of ProMedica, offering dental, medical, and vision coverage operating in Ohio. Claims route under payer ID SX158, with 6 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Paramount Provider Portal, and CAQH is used for credentialing data. 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

SX158Also seen as 10854, 3275, 5977, CX019, PRMNT, SX158MA

Also known as

HRI Dental and Vision, Health Resources Inc, Paramount Care, Paramount Health, Paramount Healthcare

Uses CAQH

YesApplication route: Payer portal application

Service area

OH

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Paramount?

The payer ID for Paramount is SX158. Alternate IDs seen across clearinghouses include 10854, 3275, 5977, CX019.

How long does Paramount provider enrollment take?

Paramount provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Paramount require CAQH?

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

Does Paramount require ERA enrollment?

Yes. Paramount requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Paramount cover?

Paramount operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.