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Physicians Medical Group of San Jose

medical

Summary

Physicians Medical Group of San Jose is a medical payer operating in California. Claims route under payer ID EXC01, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
EXC01Also seen as 2098, 3430, PMGSJ
Also known as
Optum Care Network
Service area
CA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Physicians Medical Group of San Jose?
The payer ID for Physicians Medical Group of San Jose is EXC01. Alternate IDs seen across clearinghouses include 2098, 3430, PMGSJ.
Does Physicians Medical Group of San Jose require ERA enrollment?
Yes. Physicians Medical Group of San Jose requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Physicians Medical Group of San Jose cover?
Physicians Medical Group of San Jose operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Physicians Medical Group of San Jose offer?
Physicians Medical Group of San Jose covers medical.
Can I submit claims to Physicians Medical Group of San Jose electronically?
Yes. Physicians Medical Group of San Jose is reachable through clearinghouses for 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 Spot something out of date?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.