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Preferred Health Plan of Carolinas (PHPC)

dentalmedical

Summary

Preferred Health Plan of Carolinas (PHPC) is a dental and medical payer. Claims route under payer ID CB404, 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 several weeks.

At a glance

Payer ID
CB404Also seen as 5018, 8866

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
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 Health Plan of Carolinas (PHPC)?
The payer ID for Preferred Health Plan of Carolinas (PHPC) is CB404. Alternate IDs seen across clearinghouses include 5018, 8866.
Does Preferred Health Plan of Carolinas (PHPC) require ERA enrollment?
Yes. Preferred Health Plan of Carolinas (PHPC) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does Preferred Health Plan of Carolinas (PHPC) offer?
Preferred Health Plan of Carolinas (PHPC) covers dental and medical.
Can I submit claims to Preferred Health Plan of Carolinas (PHPC) electronically?
Yes. Preferred Health Plan of Carolinas (PHPC) 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 Spot something out of date?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.