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Physicians Health Plan (PHP) Michigan Medicare

Part of Sparrow Health System

Regional plandentalmedical
Typical enrollment turnaround
60-90 days

Summary

Physicians Health Plan (PHP) Michigan Medicare is a regional health plan, part of Sparrow Health System, offering dental and medical coverage operating in Michigan. Claims route under payer ID 83276, with 5 alternate IDs in use across clearinghouses. 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, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
83276Also seen as 16603, 3044, 8293, 83276MA, PHPMIM
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
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Physicians Health Plan (PHP) Michigan Medicare?
The payer ID for Physicians Health Plan (PHP) Michigan Medicare is 83276. Alternate IDs seen across clearinghouses include 16603, 3044, 8293, 83276MA.
How long does Physicians Health Plan (PHP) Michigan Medicare provider enrollment take?
Physicians Health Plan (PHP) Michigan Medicare 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 (PHP) Michigan Medicare require CAQH?
Yes. Physicians Health Plan (PHP) Michigan Medicare uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Physicians Health Plan (PHP) Michigan Medicare require ERA enrollment?
Yes. Physicians Health Plan (PHP) Michigan Medicare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Physicians Health Plan (PHP) Michigan Medicare cover?
Physicians Health Plan (PHP) Michigan Medicare operates in MI (mid-Michigan). Coverage can differ by plan and product line, so confirm the specific plan before you file.

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.