Verdegard

Summary

Verdegard is a dental and medical payer. Claims route under payer ID 86066, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and activates within hours.

At a glance

Payer ID

86066Also seen as 11112, 4753, HMADMN

Also known as

HMA, Hawaii-Mainland Administrators, Provider Network of America (PNOA), Verdegard Administrators

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 Verdegard?

The payer ID for Verdegard is 86066. Alternate IDs seen across clearinghouses include 11112, 4753, HMADMN.

Does Verdegard require ERA enrollment?

Yes. Verdegard requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few hours.

What types of coverage does Verdegard offer?

Verdegard covers dental and medical.

Can I submit claims to Verdegard electronically?

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