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Physicians Health Plan (PHP) of Northern Indiana

dentalmedicalvision

Summary

Physicians Health Plan (PHP) of Northern Indiana is a dental, medical, and vision payer operating in Indiana. Claims route under payer ID 12399, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
12399Also seen as 10658, 3596, 3815, 507, PHPNI
Also known as
PHPNI, Physicians Health Plan (PHP) Northern Indiana
Service area
IN

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
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Physicians Health Plan (PHP) of Northern Indiana?
The payer ID for Physicians Health Plan (PHP) of Northern Indiana is 12399. Alternate IDs seen across clearinghouses include 10658, 3596, 3815, 507.
Does Physicians Health Plan (PHP) of Northern Indiana require ERA enrollment?
Yes. Physicians Health Plan (PHP) of Northern Indiana requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Physicians Health Plan (PHP) of Northern Indiana cover?
Physicians Health Plan (PHP) of Northern Indiana operates in IN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Physicians Health Plan (PHP) of Northern Indiana offer?
Physicians Health Plan (PHP) of Northern Indiana covers dental, medical, and vision.
Can I submit claims to Physicians Health Plan (PHP) of Northern Indiana electronically?
Yes. Physicians Health Plan (PHP) of Northern Indiana is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).

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.