P
Payer Directory
Professional Claims Management: payer ID and claims support
Professional Claims Management uses payer ID J1821. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
J1821Professional Claims Management at a glance
What billers need before running a check.
Payer ID
J1821Real-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 Professional Claims Management 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 Professional Claims Management?+–
Professional Claims Management uses payer ID J1821.
Does Professional Claims Management support real-time eligibility verification?+–
Not electronically today. Coverage for Professional Claims Management 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
