F
Payer Directory
Federally Qualified Healthcare: payer ID and claims support
Federally Qualified Healthcare uses payer ID FQHC1. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
FQHC1Federally Qualified Healthcare at a glance
What billers need before running a check.
Payer ID
FQHC1Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Not published
Supported transactions
What can be exchanged electronically with Federally Qualified Healthcare 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 | NOT AVAILABLE |
Institutional claims (837I) Facility claims | ENROLLMENT REQUIRED |
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 Federally Qualified Healthcare?+–
Federally Qualified Healthcare uses payer ID FQHC1.
Does Federally Qualified Healthcare support real-time eligibility verification?+–
Not electronically today. Coverage for Federally Qualified Healthcare has to be confirmed through the payer's own portal or phone line.
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