Valor Health Plan
medical
Summary
Valor Health Plan is a medical payer operating in Ohio. Claims route under payer ID 43259, 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 activates within hours.
At a glance
- Payer ID
43259Also seen as 16612, 2000, 43259MA, 8132- Service area
- OH
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 | Same day |
Common questions
- What is the payer ID for Valor Health Plan?
- The payer ID for Valor Health Plan is 43259. Alternate IDs seen across clearinghouses include 16612, 2000, 43259MA, 8132.
- Does Valor Health Plan require ERA enrollment?
- Yes. Valor Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.
- What states does Valor Health Plan cover?
- Valor Health Plan operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does Valor Health Plan offer?
- Valor Health Plan covers medical.
- Can I submit claims to Valor Health Plan electronically?
- Yes. Valor 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 Spot something out of date?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.