WellStar Health Plan
dentalmedical
Summary
WellStar Health Plan is a dental and medical payer. Claims route under payer ID RP129, with 3 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
RP129Also seen as 2813, 7955, CB457
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 |
| Claim status (276/277) | Not required | Immediate |
| 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 WellStar Health Plan?
- The payer ID for WellStar Health Plan is RP129. Alternate IDs seen across clearinghouses include 2813, 7955, CB457.
- Does WellStar Health Plan require ERA enrollment?
- Yes. WellStar Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does WellStar Health Plan offer?
- WellStar Health Plan covers dental and medical.
- Can I submit claims to WellStar Health Plan electronically?
- Yes. WellStar Health Plan is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).
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 Spot something out of date?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.