Provider Partners Health Plan of Missouri
medical
Summary
Provider Partners Health Plan of Missouri is a medical payer operating in Missouri. Claims route under payer ID 31404, 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
31404Also seen as 16557, 5079, 9126, PPHP_MO- Also known as
- Provider Partners Health Plans
- Service area
- MO
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 Missouri?
- The payer ID for Provider Partners Health Plan of Missouri is 31404. Alternate IDs seen across clearinghouses include 16557, 5079, 9126, PPHP_MO.
- Does Provider Partners Health Plan of Missouri require ERA enrollment?
- Yes. Provider Partners Health Plan of Missouri requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Provider Partners Health Plan of Missouri cover?
- Provider Partners Health Plan of Missouri operates in MO. 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 Missouri offer?
- Provider Partners Health Plan of Missouri covers medical.
- Can I submit claims to Provider Partners Health Plan of Missouri electronically?
- Yes. Provider Partners Health Plan of Missouri 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 Spot something out of date?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.