Pekin Insurance

Summary

Pekin Insurance is a regional health plan offering dental and medical coverage operating in 5 states. Claims route under payer ID 37086, with 4 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Pekin Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

37086Also seen as 11211, 5194, 67628, PKNLF

Uses CAQH

YesApplication route: CAQH application only

Service area

IL, IN, IA, OH, WI

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 Pekin Insurance?

The payer ID for Pekin Insurance is 37086. Alternate IDs seen across clearinghouses include 11211, 5194, 67628, PKNLF.

How long does Pekin Insurance provider enrollment take?

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

Does Pekin Insurance require CAQH?

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

Does Pekin Insurance require ERA enrollment?

Yes. Pekin Insurance requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Pekin Insurance cover?

Pekin Insurance operates in IL, IN, IA, OH, WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.