C
Payer Directory
CommuniCare Advantage: payer ID and claims support
CommuniCare Advantage uses payer ID 34525. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
34525MedicareCommuniCare Advantage at a glance
What billers need before running a check.
Payer ID
34525Also known as 5095, 70022, 9144
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicare
Operating area
Indiana, Maryland, Ohio
Payer website
communicare-advantage.comSupported transactions
What can be exchanged electronically with CommuniCare Advantage today.
| Transaction | Status |
|---|---|
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 CommuniCare Advantage?+–
CommuniCare Advantage uses payer ID 34525. It also appears as 5095, 70022, 9144 in some systems.
Does CommuniCare Advantage support real-time eligibility verification?+–
Not electronically today. Coverage for CommuniCare Advantage has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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