P
Payer Directory
Pioneer Provider Network: payer ID and claims support
Pioneer Provider Network uses payer ID PPNZZ. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
PPNZZPioneer Provider Network at a glance
What billers need before running a check.
Payer ID
PPNZZAlso known as 6719, 9518
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 Pioneer Provider Network 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 | 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 Pioneer Provider Network?+–
Pioneer Provider Network uses payer ID PPNZZ. It also appears as 6719, 9518 in some systems.
Does Pioneer Provider Network support real-time eligibility verification?+–
Not electronically today. Coverage for Pioneer Provider Network has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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