Therapy Network of Puerto Rico
medical
Summary
Therapy Network of Puerto Rico is a medical payer operating in Puerto Rico. Claims route under payer ID TNPR1. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
TNPR1- Also known as
- Health Network One, TNPR
- Service area
- PR
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 |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for Therapy Network of Puerto Rico?
- The payer ID for Therapy Network of Puerto Rico is TNPR1.
- Does Therapy Network of Puerto Rico require ERA enrollment?
- Yes. Therapy Network of Puerto Rico requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Therapy Network of Puerto Rico cover?
- Therapy Network of Puerto Rico operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Therapy Network of Puerto Rico offer?
- Therapy Network of Puerto Rico covers medical.
- Can I submit claims to Therapy Network of Puerto Rico electronically?
- Yes. Therapy Network of Puerto Rico is reachable through clearinghouses for eligibility checks, 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 Spot something out of date?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.