Payer Directory

Northern Plains Preferred Health Plan Commercial: payer ID and claims support

Northern Plains Preferred Health Plan Commercial uses payer ID PHMD1. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID PHMD1

Northern Plains Preferred Health Plan Commercial at a glance

What billers need before running a check.

Payer ID

PHMD1

Also known as 8797

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 Northern Plains Preferred Health Plan Commercial 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	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 Northern Plains Preferred Health Plan Commercial?+

Northern Plains Preferred Health Plan Commercial uses payer ID PHMD1. It also appears as 8797 in some systems.

Does Northern Plains Preferred Health Plan Commercial support real-time eligibility verification?+

Not electronically today. Coverage for Northern Plains Preferred Health Plan Commercial has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.