D
Payer Directory
DirectCare: payer ID and claims support
DirectCare uses payer ID 55731. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
55731DirectCare at a glance
What billers need before running a check.
Payer ID
55731Also known as 1654, 1719
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Operating area
Not published
Supported transactions
What can be exchanged electronically with DirectCare 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 | SUPPORTED |
Remittance (835 ERA) Electronic remittance advice | NOT AVAILABLE |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Frequently asked questions
What is the payer ID for DirectCare?+–
DirectCare uses payer ID 55731. It also appears as 1654, 1719 in some systems.
Does DirectCare support real-time eligibility verification?+–
Not electronically today. Coverage for DirectCare has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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