Provider Partners Health Plan of Illinois
medical
Summary
Provider Partners Health Plan of Illinois is a medical payer operating in Illinois. Claims route under payer ID 31401, 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
31401Also seen as 16555, 3053, 8412, PPHP_IL- Also known as
- PPHP, Provider Partners Health Plans
- Service area
- IL
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 Provider Partners Health Plan of Illinois?
- The payer ID for Provider Partners Health Plan of Illinois is 31401. Alternate IDs seen across clearinghouses include 16555, 3053, 8412, PPHP_IL.
- Does Provider Partners Health Plan of Illinois require ERA enrollment?
- Yes. Provider Partners Health Plan of Illinois requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Provider Partners Health Plan of Illinois cover?
- Provider Partners Health Plan of Illinois operates in IL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Provider Partners Health Plan of Illinois offer?
- Provider Partners Health Plan of Illinois covers medical.
- Can I submit claims to Provider Partners Health Plan of Illinois electronically?
- Yes. Provider Partners Health Plan of Illinois 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).
Related payers
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 Spot something out of date?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.