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Sedgwick Claims Management Services

medical

Summary

Sedgwick Claims Management Services is a medical payer. Claims route under payer ID TP097. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID
TP097

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
ERA / remittance (835)RequiredA few days

Common questions

What is the payer ID for Sedgwick Claims Management Services?
The payer ID for Sedgwick Claims Management Services is TP097.
Does Sedgwick Claims Management Services require ERA enrollment?
Yes. Sedgwick Claims Management Services requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
What types of coverage does Sedgwick Claims Management Services offer?
Sedgwick Claims Management Services covers medical.
Can I submit claims to Sedgwick Claims Management Services electronically?
Yes. Sedgwick Claims Management Services is reachable through clearinghouses for 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 Spot something out of date?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.