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Payer Directory
iCare Health Options TPA: payer ID and claims support
iCare Health Options TPA uses payer ID 26054. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
26054CommercialiCare Health Options TPA at a glance
What billers need before running a check.
Payer ID
26054Also known as 5299
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical, vision
Commercial
Operating area
Not published
Payer website
www.myicarehealth.comSupported transactions
What can be exchanged electronically with iCare Health Options TPA 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 | ENROLLMENT REQUIRED |
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 iCare Health Options TPA?+–
iCare Health Options TPA uses payer ID 26054. It also appears as 5299 in some systems.
Does iCare Health Options TPA support real-time eligibility verification?+–
Not electronically today. Coverage for iCare Health Options TPA has to be confirmed through the payer's own portal or phone line.
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
