Prairie States
dentalmedical
Summary
Prairie States is a dental and medical payer. Claims route under payer ID 36373, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
36373Also seen as 00148, 11071, 3891, 3984- Also known as
- Prairie States Enterprises Incorporated
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 |
| 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 Prairie States?
- The payer ID for Prairie States is 36373. Alternate IDs seen across clearinghouses include 00148, 11071, 3891, 3984.
- Does Prairie States require ERA enrollment?
- Yes. Prairie States requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does Prairie States offer?
- Prairie States covers dental and medical.
- Can I submit claims to Prairie States electronically?
- Yes. Prairie States is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.