World Trade Center Health Program
medical
Summary
World Trade Center Health Program is a medical payer. Claims route under payer ID 31172, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
31172Also seen as 5685, 6134- Also known as
- HealthSmart, Innovante Benefit Administrators, WTC Health Program, World Trade Center Health Program (WTCHP)
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for World Trade Center Health Program?
- The payer ID for World Trade Center Health Program is 31172. Alternate IDs seen across clearinghouses include 5685, 6134.
- Does World Trade Center Health Program require ERA enrollment?
- Yes. World Trade Center Health Program requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What types of coverage does World Trade Center Health Program offer?
- World Trade Center Health Program covers medical.
- Can I submit claims to World Trade Center Health Program electronically?
- Yes. World Trade Center Health Program is reachable through clearinghouses for 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 Spot something out of date?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.