C
Payer Directory

Children's Physicians Medical Group: payer ID and claims support

Children's Physicians Medical Group uses payer ID RCHN1. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID RCHN1

Children's Physicians Medical Group at a glance

What billers need before running a check.

Payer ID
RCHN1
Also known as 1145
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
California
Payer website
cpmgsandiego.com

Supported transactions

What can be exchanged electronically with Children's Physicians Medical Group today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for Children's Physicians Medical Group?+
Children's Physicians Medical Group uses payer ID RCHN1. It also appears as 1145 in some systems.
Does Children's Physicians Medical Group support real-time eligibility verification?+
Not electronically today. Coverage for Children's Physicians Medical Group has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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