H
Payer Directory
HealthPlan Services: payer ID and claims support
HealthPlan Services uses payer ID 59143. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
59143CommercialHealthPlan Services at a glance
What billers need before running a check.
Payer ID
59143Also known as 6172
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial
Operating area
Not published
Payer website
www.hpsclaimservices.comSupported transactions
What can be exchanged electronically with HealthPlan Services 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 HealthPlan Services?+–
HealthPlan Services uses payer ID 59143. It also appears as 6172 in some systems.
Does HealthPlan Services support real-time eligibility verification?+–
Not electronically today. Coverage for HealthPlan Services has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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