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Preferred Independent Physician Association

medical

Summary

Preferred Independent Physician Association is a medical payer. Claims route under payer ID PFIPA, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
PFIPAAlso seen as 3225, 6623
Also known as
Preferred Independent Practice Association

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
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Preferred Independent Physician Association?
The payer ID for Preferred Independent Physician Association is PFIPA. Alternate IDs seen across clearinghouses include 3225, 6623.
Does Preferred Independent Physician Association require ERA enrollment?
Yes. Preferred Independent Physician Association requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What types of coverage does Preferred Independent Physician Association offer?
Preferred Independent Physician Association covers medical.
Can I submit claims to Preferred Independent Physician Association electronically?
Yes. Preferred Independent Physician Association is reachable through clearinghouses for 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 Spot something out of date?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.