H
Payer Directory
HealthEdge Administrators: payer ID and claims support
HealthEdge Administrators uses payer ID 95213. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
95213CommercialHealthEdge Administrators at a glance
What billers need before running a check.
Payer ID
95213Also known as 6810
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Commercial
Operating area
California
Payer website
healthedgeinc.comSupported transactions
What can be exchanged electronically with HealthEdge Administrators 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 HealthEdge Administrators?+–
HealthEdge Administrators uses payer ID 95213. It also appears as 6810 in some systems.
Does HealthEdge Administrators support real-time eligibility verification?+–
Not electronically today. Coverage for HealthEdge Administrators has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
Automate the rest of your revenue cycle
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
