Western Health Advantage

Summary

Western Health Advantage is a dental, medical, and vision payer operating in California. Claims route under payer ID 68039, with 6 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 takes several weeks.

At a glance

Payer ID

68039Also seen as 10201, 5634, 6267, 77225, WHAP, WSTHA

Also known as

Western Health

Service area

CA

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 Western Health Advantage?

The payer ID for Western Health Advantage is 68039. Alternate IDs seen across clearinghouses include 10201, 5634, 6267, 77225.

Does Western Health Advantage require ERA enrollment?

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

What states does Western Health Advantage cover?

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

What types of coverage does Western Health Advantage offer?

Western Health Advantage covers dental, medical, and vision.

Can I submit claims to Western Health Advantage electronically?

Yes. Western Health Advantage 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).