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Simpra Advantage

medicalvision

Summary

Simpra Advantage is a medical and vision payer operating in Alabama. Claims route under payer ID SIM02, with 5 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
SIM02Also seen as 14388, 6093, 9271, GAOIN, SIM01
Service area
AL

Clearinghouse transaction setup

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

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Simpra Advantage?
The payer ID for Simpra Advantage is SIM02. Alternate IDs seen across clearinghouses include 14388, 6093, 9271, GAOIN.
Does Simpra Advantage require ERA enrollment?
Yes. Simpra Advantage requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Simpra Advantage cover?
Simpra Advantage operates in AL. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Simpra Advantage offer?
Simpra Advantage covers medical and vision.
Can I submit claims to Simpra Advantage electronically?
Yes. Simpra Advantage 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).

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 Spot something out of date?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.