PROSSAM
medical
Summary
PROSSAM is a medical payer operating in Puerto Rico. Claims route under payer ID 66019, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
66019Also seen as 660194027, 6669, 6773- Also known as
- Plan Maestro de Beneficios de Salud de la Asociación de Maestros de Puerto Rico
- Service area
- PR
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 |
| 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 PROSSAM?
- The payer ID for PROSSAM is 66019. Alternate IDs seen across clearinghouses include 660194027, 6669, 6773.
- Does PROSSAM require ERA enrollment?
- Yes. PROSSAM requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does PROSSAM cover?
- PROSSAM operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PROSSAM offer?
- PROSSAM covers medical.
- Can I submit claims to PROSSAM electronically?
- Yes. PROSSAM is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.