Professional Benefit Administrators

Summary

Professional Benefit Administrators is a dental, medical, and vision payer. Claims route under payer ID 36331, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

36331Also seen as 10242, 2807, 2950, ILPBA

Also known as

Professional Benefit Administrators Incorporated (Oak Brook), Professional Benefit Administrators Incorporated (Oak Brook, Illinois)

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 Professional Benefit Administrators?

The payer ID for Professional Benefit Administrators is 36331. Alternate IDs seen across clearinghouses include 10242, 2807, 2950, ILPBA.

Does Professional Benefit Administrators require ERA enrollment?

Yes. Professional Benefit Administrators requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What types of coverage does Professional Benefit Administrators offer?

Professional Benefit Administrators covers dental, medical, and vision.

Can I submit claims to Professional Benefit Administrators electronically?

Yes. Professional Benefit Administrators is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).