Physicians Health Plan Mid Michigan
Part of Sparrow Health System
Regional plandentalmedical
Typical enrollment turnaround
60-90 days
Summary
Physicians Health Plan Mid Michigan is a regional health plan, part of Sparrow Health System, offering dental and medical coverage operating in Michigan. Claims route under payer ID 11015. Provider enrollment typically takes 60-90 days, with applications through PHP Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks and claim status inquiries.
At a glance
- Payer ID
11015- Uses CAQH
- YesApplication route: CAQH application only
- Service area
- MI (mid-Michigan)
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 |
Common questions
- What is the payer ID for Physicians Health Plan Mid Michigan?
- The payer ID for Physicians Health Plan Mid Michigan is 11015.
- How long does Physicians Health Plan Mid Michigan provider enrollment take?
- Physicians Health Plan Mid Michigan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
- Does Physicians Health Plan Mid Michigan require CAQH?
- Yes. Physicians Health Plan Mid Michigan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
- What states does Physicians Health Plan Mid Michigan cover?
- Physicians Health Plan Mid Michigan operates in MI (mid-Michigan). Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Physicians Health Plan Mid Michigan offer?
- Physicians Health Plan Mid Michigan covers dental and medical.
Related payers
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 Spot something out of date?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.