P
Payer Directory

Physicians Health Plan Third Party Administrator Services: payer ID and claims support

Physicians Health Plan Third Party Administrator Services uses payer ID 30031. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 30031Commercial

Physicians Health Plan Third Party Administrator Services at a glance

What billers need before running a check.

Payer ID
30031
Also known as 00022, 1193, 2569, COR01
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial
Operating area
Indiana
Payer website
www.phpni.com

Supported transactions

What can be exchanged electronically with Physicians Health Plan Third Party Administrator Services today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
SUPPORTED
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
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 Physicians Health Plan Third Party Administrator Services?+
Physicians Health Plan Third Party Administrator Services uses payer ID 30031. It also appears as 00022, 1193, 2569, COR01 in some systems.
Does Physicians Health Plan Third Party Administrator Services support real-time eligibility verification?+
Not electronically today. Coverage for Physicians Health Plan Third Party Administrator Services has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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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