PerformCare
medicalvision
Summary
PerformCare is a medical and vision payer operating in Pennsylvania. Claims route under payer ID 65391, with 4 alternate IDs in use across clearinghouses. 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
65391Also seen as 4657, 6183, PFMCR, PRFCR- Also known as
- AmeriHealth PerformCare, CBHNP HealthChoices, Community Behavioral Health Network of Pennsylvania HealthChoices
- Service area
- PA
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 |
| Claim status (276/277) | 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 PerformCare?
- The payer ID for PerformCare is 65391. Alternate IDs seen across clearinghouses include 4657, 6183, PFMCR, PRFCR.
- Does PerformCare require ERA enrollment?
- Yes. PerformCare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does PerformCare cover?
- PerformCare operates in PA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PerformCare offer?
- PerformCare covers medical and vision.
- Can I submit claims to PerformCare electronically?
- Yes. PerformCare is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.