H
Payer Directory
Horizon PACE: payer ID and claims support
Horizon PACE uses payer ID R4569. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
R4569Medicare · MedicaidHorizon PACE at a glance
What billers need before running a check.
Payer ID
R4569Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicare · Medicaid
Operating area
Kentucky
Payer website
forhorizonpace.comSupported transactions
What can be exchanged electronically with Horizon PACE 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 Horizon PACE?+–
Horizon PACE uses payer ID R4569.
Does Horizon PACE support real-time eligibility verification?+–
Not electronically today. Coverage for Horizon PACE has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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