Piedmont Community Health Plan
medical
Summary
Piedmont Community Health Plan is a medical payer operating in Virginia. Claims route under payer ID 55768, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
55768Also seen as 00288, 10882, 14461, 55768MA, 6045, 9199 and 1 more- Service area
- VA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Piedmont Community Health Plan?
- The payer ID for Piedmont Community Health Plan is 55768. Alternate IDs seen across clearinghouses include 00288, 10882, 14461, 55768MA.
- Does Piedmont Community Health Plan require ERA enrollment?
- Yes. Piedmont Community Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Piedmont Community Health Plan cover?
- Piedmont Community Health Plan operates in VA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Piedmont Community Health Plan offer?
- Piedmont Community Health Plan covers medical.
- Can I submit claims to Piedmont Community Health Plan electronically?
- Yes. Piedmont Community Health Plan is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.