PruittHealth Premier of North Carolina and South Carolina
medical
Summary
PruittHealth Premier of North Carolina and South Carolina is a medical payer operating in North Carolina and South Carolina. Claims route under payer ID PHPC1, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
PHPC1Also seen as 16593, 2044, 8182- Also known as
- PruittHealth Premier North Carolina and South Carolina, PruittHealth Premier of Carolinas (NC and SC)
- Service area
- NC, SC
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 |
| 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 PruittHealth Premier of North Carolina and South Carolina?
- The payer ID for PruittHealth Premier of North Carolina and South Carolina is PHPC1. Alternate IDs seen across clearinghouses include 16593, 2044, 8182.
- Does PruittHealth Premier of North Carolina and South Carolina require ERA enrollment?
- Yes. PruittHealth Premier of North Carolina and South Carolina requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does PruittHealth Premier of North Carolina and South Carolina cover?
- PruittHealth Premier of North Carolina and South Carolina operates in NC, SC. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does PruittHealth Premier of North Carolina and South Carolina offer?
- PruittHealth Premier of North Carolina and South Carolina covers medical.
- Can I submit claims to PruittHealth Premier of North Carolina and South Carolina electronically?
- Yes. PruittHealth Premier of North Carolina and South Carolina is reachable through clearinghouses for eligibility checks, 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.