P
Payer Directory

PMC Government Health Plan GHP (Vital): payer ID and claims support

PMC Government Health Plan GHP (Vital) uses payer ID 660592131GHP. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID 660592131GHPCommercial

PMC Government Health Plan GHP (Vital) at a glance

What billers need before running a check.

Payer ID
660592131GHP
Also known as 7232, PMCHOR
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
dental, medical
Commercial
Operating area
Puerto Rico
Payer website
www.mmm-pr.com

Supported transactions

What can be exchanged electronically with PMC Government Health Plan GHP (Vital) 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
SUPPORTED
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 PMC Government Health Plan GHP (Vital)?+
PMC Government Health Plan GHP (Vital) uses payer ID 660592131GHP. It also appears as 7232, PMCHOR in some systems.
Does PMC Government Health Plan GHP (Vital) support real-time eligibility verification?+
Not electronically today. Coverage for PMC Government Health Plan GHP (Vital) has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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