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San Diego PACE

dentalmedical

Summary

San Diego PACE is a dental and medical payer operating in California. Claims route under payer ID 96400, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
96400Also seen as 3004, 8252, SDPCS
Also known as
San Diego Program of All-Inclusive Care for the Elderly, San Ysidro Health
Service area
CA

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
Dental claims (837D)Not requiredImmediate
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for San Diego PACE?
The payer ID for San Diego PACE is 96400. Alternate IDs seen across clearinghouses include 3004, 8252, SDPCS.
Does San Diego PACE require ERA enrollment?
Yes. San Diego PACE requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What states does San Diego PACE cover?
San Diego PACE operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does San Diego PACE offer?
San Diego PACE covers dental and medical.
Can I submit claims to San Diego PACE electronically?
Yes. San Diego PACE is reachable through clearinghouses for professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).

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 Spot something out of date?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.