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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.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate

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.

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 Spot something out of date?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.