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Payer Directory
Healthways WholeHealth Networks: payer ID and claims support
Healthways WholeHealth Networks uses payer ID 58213. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
58213Healthways WholeHealth Networks at a glance
What billers need before running a check.
Payer ID
58213Also known as 00100, 4740
Real-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 Healthways WholeHealth Networks 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 | NOT AVAILABLE |
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 Healthways WholeHealth Networks?+–
Healthways WholeHealth Networks uses payer ID 58213. It also appears as 00100, 4740 in some systems.
Does Healthways WholeHealth Networks support real-time eligibility verification?+–
Not electronically today. Coverage for Healthways WholeHealth Networks has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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