P
Payer Directory

PCA Health Plan Florida: payer ID and claims support

PCA Health Plan Florida uses payer ID 65018. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 65018

PCA Health Plan Florida at a glance

What billers need before running a check.

Payer ID
65018
Also known as 5147
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 PCA Health Plan Florida today.

TransactionStatus
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 PCA Health Plan Florida?+
PCA Health Plan Florida uses payer ID 65018. It also appears as 5147 in some systems.
Does PCA Health Plan Florida support real-time eligibility verification?+
Not electronically today. Coverage for PCA Health Plan Florida has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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