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
30031CommercialPhysicians Health Plan Third Party Administrator Services at a glance
What billers need before running a check.
Payer ID
30031Also 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.comSupported transactions
What can be exchanged electronically with Physicians Health Plan Third Party Administrator Services today.
| Transaction | Status |
|---|---|
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.
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