E
Payer Directory
Evolutions Healthcare Systems: payer ID and claims support
Evolutions Healthcare Systems uses payer ID 59313. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
59313CommercialEvolutions Healthcare Systems at a glance
What billers need before running a check.
Payer ID
59313Also known as 3956, 4438
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Commercial
Operating area
Not published
Payer website
ehsppo.comSupported transactions
What can be exchanged electronically with Evolutions Healthcare Systems 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 Evolutions Healthcare Systems?+–
Evolutions Healthcare Systems uses payer ID 59313. It also appears as 3956, 4438 in some systems.
Does Evolutions Healthcare Systems support real-time eligibility verification?+–
Not electronically today. Coverage for Evolutions Healthcare Systems has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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