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Payer Directory
Exemplar Health Insurance Company (Medicare): payer ID and claims support
Exemplar Health Insurance Company (Medicare) uses payer ID 54096. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
54096MedicareExemplar Health Insurance Company (Medicare) at a glance
What billers need before running a check.
Payer ID
54096Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicare
Operating area
Not published
Payer website
www.exemplarhpo.comSupported transactions
What can be exchanged electronically with Exemplar Health Insurance Company (Medicare) 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 | 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 Exemplar Health Insurance Company (Medicare)?+–
Exemplar Health Insurance Company (Medicare) uses payer ID 54096.
Does Exemplar Health Insurance Company (Medicare) support real-time eligibility verification?+–
Not electronically today. Coverage for Exemplar Health Insurance Company (Medicare) has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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From $0.50 per check, pay-as-you-go. No contract, no implementation project.
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90%
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$107–149K
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24 mo
in production
