Prime Healthcare
medical
Summary
Prime Healthcare is a medical payer. Claims route under payer ID J1673. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
J1673
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Prime Healthcare?
- The payer ID for Prime Healthcare is J1673.
- Does Prime Healthcare require ERA enrollment?
- Yes. Prime Healthcare requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What types of coverage does Prime Healthcare offer?
- Prime Healthcare covers medical.
- Can I submit claims to Prime Healthcare electronically?
- Yes. Prime Healthcare 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 Spot something out of date?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.