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CredNet

Preferred Care Network

dentalmedicalvision

Summary

Preferred Care Network is a dental, medical, and vision payer operating in Florida. Claims route under payer ID 78857, with 1 alternate ID in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
78857Also seen as 4243
Also known as
Medica Health Care Plan, Medica Healthcare Plan Florida, Preferred Care Network Health, UnitedHealthcare Insurance Company, UnitedHealthcare Services, Inc.
Service area
FL

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
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Preferred Care Network?
The payer ID for Preferred Care Network is 78857. Alternate IDs seen across clearinghouses include 4243.
Does Preferred Care Network require ERA enrollment?
Yes. Preferred Care Network requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Preferred Care Network cover?
Preferred Care Network operates in FL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Preferred Care Network offer?
Preferred Care Network covers dental, medical, and vision.
Can I submit claims to Preferred Care Network electronically?
Yes. Preferred Care Network is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.