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Provider Partners Health Plan of Ohio

medical

Summary

Provider Partners Health Plan of Ohio is a medical payer operating in Ohio. Claims route under payer ID 31402, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, and institutional claims.

At a glance

Payer ID
31402Also seen as 16558, 6074, 9233, PPHP_OH
Also known as
Provider Partners Health Plans
Service area
OH

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
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate

Common questions

What is the payer ID for Provider Partners Health Plan of Ohio?
The payer ID for Provider Partners Health Plan of Ohio is 31402. Alternate IDs seen across clearinghouses include 16558, 6074, 9233, PPHP_OH.
What states does Provider Partners Health Plan of Ohio cover?
Provider Partners Health Plan of Ohio operates in OH. 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 Ohio offer?
Provider Partners Health Plan of Ohio covers medical.
Can I submit claims to Provider Partners Health Plan of Ohio electronically?
Yes. Provider Partners Health Plan of Ohio is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, and institutional claims. 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 Spot something out of date?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.