TLC Benefit Solutions
dentalmedical
Summary
TLC Benefit Solutions is a dental and medical payer. Claims route under payer ID TLC79, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.
At a glance
- Payer ID
TLC79Also seen as 7197, TLC01- Also known as
- TLC Advantage in Sioux Falls
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Same day |
Common questions
- What is the payer ID for TLC Benefit Solutions?
- The payer ID for TLC Benefit Solutions is TLC79. Alternate IDs seen across clearinghouses include 7197, TLC01.
- Does TLC Benefit Solutions require ERA enrollment?
- Yes. TLC Benefit Solutions requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What types of coverage does TLC Benefit Solutions offer?
- TLC Benefit Solutions covers dental and medical.
- Can I submit claims to TLC Benefit Solutions electronically?
- Yes. TLC Benefit Solutions is reachable through clearinghouses for 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 Spot something out of date?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.