Skip to main content
CredNet

Peach State Health Plan

Part of Centene Corporation

Medicaid managed caredentalmedical
Typical enrollment turnaround
60-90 days

Summary

Peach State Health Plan is a Medicaid managed care organization, part of Centene Corporation, offering dental and medical coverage operating in Georgia. Claims route under payer ID 68049. Provider enrollment typically takes 60-90 days, with applications through Peach State Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks.

At a glance

Payer ID
68049
Uses CAQH
YesApplication route: Payer portal application
Service area
GA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate

Common questions

What is the payer ID for Peach State Health Plan?
The payer ID for Peach State Health Plan is 68049.
How long does Peach State Health Plan provider enrollment take?
Peach State Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Peach State Health Plan require CAQH?
Yes. Peach State Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
What states does Peach State Health Plan cover?
Peach State Health Plan operates in GA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Peach State Health Plan offer?
Peach State Health Plan covers dental and medical.

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 Spot something out of date?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.