What is the payer ID for Provider Partners Health Plan of North Carolina?

The payer ID for Provider Partners Health Plan of North Carolina is 31406.

Does Provider Partners Health Plan of North Carolina require ERA enrollment?

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

What states does Provider Partners Health Plan of North Carolina cover?

Provider Partners Health Plan of North Carolina operates in NC. 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 North Carolina offer?

Provider Partners Health Plan of North Carolina covers medical.

Provider Partners Health Plan of North Carolina

medical

Summary

Provider Partners Health Plan of North Carolina is a medical payer operating in North Carolina. Claims route under payer ID 31406. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID: 31406
Also known as: Provider Partners Health Plans
Service area: NC

Clearinghouse transaction setup

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

Transaction	Enrollment	Typical setup
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 North Carolina?: The payer ID for Provider Partners Health Plan of North Carolina is 31406.
Does Provider Partners Health Plan of North Carolina require ERA enrollment?: Yes. Provider Partners Health Plan of North Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Provider Partners Health Plan of North Carolina cover?: Provider Partners Health Plan of North Carolina operates in NC. 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 North Carolina offer?: Provider Partners Health Plan of North Carolina covers medical.
Can I submit claims to Provider Partners Health Plan of North Carolina electronically?: Yes. Provider Partners Health Plan of North Carolina is reachable through clearinghouses for 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.