PrimeWest Health
dentalmedical
Summary
PrimeWest Health is a dental and medical payer operating in Minnesota. Claims route under payer ID 61604, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
61604Also seen as 10494, 2786, LX049, PRMWST- Also known as
- PrimeWest Health Plan
- Service area
- MN
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 |
| Claim status (276/277) | 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 PrimeWest Health?
- The payer ID for PrimeWest Health is 61604. Alternate IDs seen across clearinghouses include 10494, 2786, LX049, PRMWST.
- Does PrimeWest Health require ERA enrollment?
- Yes. PrimeWest Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does PrimeWest Health cover?
- PrimeWest Health operates in MN. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PrimeWest Health offer?
- PrimeWest Health covers dental and medical.
- Can I submit claims to PrimeWest Health electronically?
- Yes. PrimeWest Health is reachable through clearinghouses for eligibility checks, claim status inquiries, 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 Spot something out of date?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.