Provider Partners Health Plan of Maryland

Summary

Provider Partners Health Plan of Maryland is a medical payer operating in Maryland. Claims route under payer ID 31118, 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

31118Also seen as 16556, 1845, 4505, PPHP_MD

Also known as

Central Benefit National, Provider Partners Health Plans

Service area

MD

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 Provider Partners Health Plan of Maryland?

The payer ID for Provider Partners Health Plan of Maryland is 31118. Alternate IDs seen across clearinghouses include 16556, 1845, 4505, PPHP_MD.

Does Provider Partners Health Plan of Maryland require ERA enrollment?

Yes. Provider Partners Health Plan of Maryland requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Provider Partners Health Plan of Maryland cover?

Provider Partners Health Plan of Maryland operates in MD. 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 Maryland offer?

Provider Partners Health Plan of Maryland covers medical.

Can I submit claims to Provider Partners Health Plan of Maryland electronically?

Yes. Provider Partners Health Plan of Maryland 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).