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Populytics

dentalmedical

Summary

Populytics is a dental and medical payer. Claims route under payer ID 23253. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID
23253
Also known as
Spectrum Administrators Incorporated TPA (Allenton, Pennsylvania), Spectrum Administrators Incorporated Third Party Administrator (Allenton, Pennsylvania)

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
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 Populytics?
The payer ID for Populytics is 23253.
Does Populytics require ERA enrollment?
Yes. Populytics requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What types of coverage does Populytics offer?
Populytics covers dental and medical.
Can I submit claims to Populytics electronically?
Yes. Populytics is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.