Priority Health

Summary

Priority Health is a regional health plan, part of Corewell Health, offering dental, medical, and vision coverage operating in Michigan. Claims route under payer ID PRHTH, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Priority Health Provider Portal, and CAQH is used for credentialing data. 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

PRHTHAlso seen as 00493, 10490, 38217, 38217MA, 7459, DX021 and 2 more

Uses CAQH

YesApplication route: CAQH application only

Service area

MI

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Priority Health?

The payer ID for Priority Health is PRHTH. Alternate IDs seen across clearinghouses include 00493, 10490, 38217, 38217MA.

How long does Priority Health provider enrollment take?

Priority Health provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Priority Health require CAQH?

Yes. Priority Health uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Priority Health require ERA enrollment?

Yes. Priority Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Priority Health cover?

Priority Health operates in MI. Coverage can differ by plan and product line, so confirm the specific plan before you file.