Upper Peninsula Health Plan
dentalmedical
Summary
Upper Peninsula Health Plan is a dental and medical payer operating in Michigan. Claims route under payer ID 38337, with 4 alternate IDs in use across clearinghouses. 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
38337Also seen as 11097, 2532, 3741, 38337MA- Also known as
- UPHP, Upper Peninsula Health Plan (Medicaid)
- Service area
- MI
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 | A few days |
| 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 Upper Peninsula Health Plan?
- The payer ID for Upper Peninsula Health Plan is 38337. Alternate IDs seen across clearinghouses include 11097, 2532, 3741, 38337MA.
- Does Upper Peninsula Health Plan require ERA enrollment?
- Yes. Upper Peninsula Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does Upper Peninsula Health Plan cover?
- Upper Peninsula Health Plan operates in MI. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Upper Peninsula Health Plan offer?
- Upper Peninsula Health Plan covers dental and medical.
- Can I submit claims to Upper Peninsula Health Plan electronically?
- Yes. Upper Peninsula Health Plan 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 Spot something out of date?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.