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Physicians Health Plan Third Party Administrator Services

medical

Summary

Physicians Health Plan Third Party Administrator Services is a medical payer operating in Indiana. Claims route under payer ID 30031, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
30031Also seen as 00022, 1193, 2569, COR01
Also known as
PHP TPA Services, PHP Third Party Administrator Services, PHPNI, Physicians Health Plan of Northern Indiana, Pro-Claim Plus Inc
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
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Physicians Health Plan Third Party Administrator Services?
The payer ID for Physicians Health Plan Third Party Administrator Services is 30031. Alternate IDs seen across clearinghouses include 00022, 1193, 2569, COR01.
Does Physicians Health Plan Third Party Administrator Services require ERA enrollment?
Yes. Physicians Health Plan Third Party Administrator Services requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Physicians Health Plan Third Party Administrator Services cover?
Physicians Health Plan Third Party Administrator Services 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 Third Party Administrator Services offer?
Physicians Health Plan Third Party Administrator Services covers medical.
Can I submit claims to Physicians Health Plan Third Party Administrator Services electronically?
Yes. Physicians Health Plan Third Party Administrator Services is reachable through clearinghouses for 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.