Triple-S Salud (Medicare Advantage)
dentalmedical
Summary
Triple-S Salud (Medicare Advantage) is a dental and medical payer operating in Puerto Rico. Claims route under payer ID 973MA, with 8 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
973MAAlso seen as 13289, 6831, 7611, 965, PRADV, PRSSA and 2 more- Also known as
- BCBS Puerto Rico - Medicare Advantage, Blue Cross United States Virgin Islands, Blue Cross and Blue Shield of Puerto Rico, Triple-S Advantage, Triple-S Management Corporation
- 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) | Required | Varies |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| Dental claims (837D) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for Triple-S Salud (Medicare Advantage)?
- The payer ID for Triple-S Salud (Medicare Advantage) is 973MA. Alternate IDs seen across clearinghouses include 13289, 6831, 7611, 965.
- Does Triple-S Salud (Medicare Advantage) require ERA enrollment?
- Yes. Triple-S Salud (Medicare Advantage) requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does Triple-S Salud (Medicare Advantage) cover?
- Triple-S Salud (Medicare Advantage) operates in PR. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Triple-S Salud (Medicare Advantage) offer?
- Triple-S Salud (Medicare Advantage) covers dental and medical.
- Can I submit claims to Triple-S Salud (Medicare Advantage) electronically?
- Yes. Triple-S Salud (Medicare Advantage) is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
Related payers
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.