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Providence PACE

dentalmedical

Summary

Providence PACE is a dental and medical payer operating in California, Oregon, and Washington. Claims route under payer ID 77250, with 2 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 activates within hours.

At a glance

Payer ID
77250Also seen as 77240, 77265
Also known as
Providence PACE CA, Providence Program of All-Inclusive Care for the Elderly California, Providence Program of All-Inclusive Care for the Elderly, California
Service area
CA, OR, WA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSame day

Common questions

What is the payer ID for Providence PACE?
The payer ID for Providence PACE is 77250. Alternate IDs seen across clearinghouses include 77240, 77265.
Does Providence PACE require ERA enrollment?
Yes. Providence PACE requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
What states does Providence PACE cover?
Providence PACE operates in CA, OR, WA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Providence PACE offer?
Providence PACE covers dental and medical.
Can I submit claims to Providence PACE electronically?
Yes. Providence PACE 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 Spot something out of date?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.