P
Payer Directory
Physicians Medical Group of San Jose: payer ID and claims support
Physicians Medical Group of San Jose uses payer ID EXC01. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
EXC01CommercialPhysicians Medical Group of San Jose at a glance
What billers need before running a check.
Payer ID
EXC01Also known as 2098, 3430, PMGSJ
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Commercial
Operating area
California
Payer website
pmgsj.optum.comSupported transactions
What can be exchanged electronically with Physicians Medical Group of San Jose 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 Physicians Medical Group of San Jose?+–
Physicians Medical Group of San Jose uses payer ID EXC01. It also appears as 2098, 3430, PMGSJ in some systems.
Does Physicians Medical Group of San Jose support real-time eligibility verification?+–
Not electronically today. Coverage for Physicians Medical Group of San Jose has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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