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.
| 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 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 Spot something out of date?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.