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

The payer ID for Provider Partners Health Plan of Pennsylvania is 31400. Alternate IDs seen across clearinghouses include 15555, 2077, 8222, PPHP_PA.

Does Provider Partners Health Plan of Pennsylvania require ERA enrollment?

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

What states does Provider Partners Health Plan of Pennsylvania cover?

Provider Partners Health Plan of Pennsylvania operates in PA. 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 Pennsylvania offer?

Provider Partners Health Plan of Pennsylvania covers medical.

Provider Partners Health Plan of Pennsylvania

medical

Summary

Provider Partners Health Plan of Pennsylvania is a medical payer operating in Pennsylvania. Claims route under payer ID 31400, 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: 31400Also seen as 15555, 2077, 8222, PPHP_PA
Also known as: Provider Partners Health Plans
Service area: PA

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 Pennsylvania?: The payer ID for Provider Partners Health Plan of Pennsylvania is 31400. Alternate IDs seen across clearinghouses include 15555, 2077, 8222, PPHP_PA.
Does Provider Partners Health Plan of Pennsylvania require ERA enrollment?: Yes. Provider Partners Health Plan of Pennsylvania requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Provider Partners Health Plan of Pennsylvania cover?: Provider Partners Health Plan of Pennsylvania operates in PA. 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 Pennsylvania offer?: Provider Partners Health Plan of Pennsylvania covers medical.
Can I submit claims to Provider Partners Health Plan of Pennsylvania electronically?: Yes. Provider Partners Health Plan of Pennsylvania 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).

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.