Sutter Health Plan

Summary

Sutter Health Plan is a regional health plan, part of Sutter Health, offering dental and medical coverage operating in California. Claims route under payer ID 13287, with 1 alternate ID in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Sutter Health Plus Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

13287Also seen as S4700

Also known as

Sutter Health Plus

Uses CAQH

YesApplication route: Payer portal application

Service area

CA (Northern California)

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 Sutter Health Plan?

The payer ID for Sutter Health Plan is 13287. Alternate IDs seen across clearinghouses include S4700.

How long does Sutter Health Plan provider enrollment take?

Sutter Health Plan provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Sutter Health Plan require CAQH?

Yes. Sutter Health Plan uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does Sutter Health Plan require ERA enrollment?

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

What states does Sutter Health Plan cover?

Sutter Health Plan operates in CA (Northern California). Coverage can differ by plan and product line, so confirm the specific plan before you file.