Senior Whole Health
medical
Summary
Senior Whole Health is a medical payer operating in 4 states. Claims route under payer ID SWHMA, with 7 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
SWHMAAlso seen as 10962, 14352, 6085, 83035, 9246, MOLINA_SWHMA and 1 more- Also known as
- Senior Whole Health SCO, Senior Whole Health by Molina Healthcare, Senior Whole Health of Massachusetts
- Service area
- ID, MA, NV, NY
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 Senior Whole Health?
- The payer ID for Senior Whole Health is SWHMA. Alternate IDs seen across clearinghouses include 10962, 14352, 6085, 83035.
- Does Senior Whole Health require ERA enrollment?
- Yes. Senior Whole Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Senior Whole Health cover?
- Senior Whole Health operates in ID, MA, NV, NY. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Senior Whole Health offer?
- Senior Whole Health covers medical.
- Can I submit claims to Senior Whole Health electronically?
- Yes. Senior Whole Health 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).
Related payers
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 Spot something out of date?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.