PMC Government Health Plan GHP (Vital)
dentalmedical
Summary
PMC Government Health Plan GHP (Vital) is a dental and medical payer operating in Puerto Rico. Claims route under payer ID 660592131GHP, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
660592131GHPAlso seen as 7232, PMCHOR- Service area
- PR
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for PMC Government Health Plan GHP (Vital)?
- The payer ID for PMC Government Health Plan GHP (Vital) is 660592131GHP. Alternate IDs seen across clearinghouses include 7232, PMCHOR.
- Does PMC Government Health Plan GHP (Vital) require ERA enrollment?
- Yes. PMC Government Health Plan GHP (Vital) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does PMC Government Health Plan GHP (Vital) cover?
- PMC Government Health Plan GHP (Vital) operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PMC Government Health Plan GHP (Vital) offer?
- PMC Government Health Plan GHP (Vital) covers dental and medical.
- Can I submit claims to PMC Government Health Plan GHP (Vital) electronically?
- Yes. PMC Government Health Plan GHP (Vital) is reachable through clearinghouses for 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 Spot something out of date?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.