Vaya Health

Summary

Vaya Health is a dental, medical, and vision payer operating in North Carolina. Claims route under payer ID 13010, with 2 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 several weeks.

At a glance

Payer ID

13010Also seen as 6233, VAYAH

Also known as

Smoky Mountain Center, Smoky Mountain Local Management Entity Managed Care Organization

Service area

NC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Vaya Health?

The payer ID for Vaya Health is 13010. Alternate IDs seen across clearinghouses include 6233, VAYAH.

Does Vaya Health require ERA enrollment?

Yes. Vaya Health requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does Vaya Health cover?

Vaya Health operates in NC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Vaya Health offer?

Vaya Health covers dental, medical, and vision.

Can I submit claims to Vaya Health electronically?

Yes. Vaya Health is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).