Sanford Health Plan Medicare Advantage

Summary

Sanford Health Plan Medicare Advantage is a dental and medical payer operating in 5 states. Claims route under payer ID RP035, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

RP035Also seen as 14373, 6572, 9277

Also known as

Great Plains Medicare Advantage

Service area

IA, MN, NE, ND, SD

Clearinghouse transaction setup

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

Common questions

What is the payer ID for Sanford Health Plan Medicare Advantage?

The payer ID for Sanford Health Plan Medicare Advantage is RP035. Alternate IDs seen across clearinghouses include 14373, 6572, 9277.

Does Sanford Health Plan Medicare Advantage require ERA enrollment?

Yes. Sanford Health Plan Medicare Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What states does Sanford Health Plan Medicare Advantage cover?

Sanford Health Plan Medicare Advantage operates in IA, MN, NE, ND, SD. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Sanford Health Plan Medicare Advantage offer?

Sanford Health Plan Medicare Advantage covers dental and medical.

Can I submit claims to Sanford Health Plan Medicare Advantage electronically?

Yes. Sanford Health Plan Medicare Advantage is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).