P
Payer Directory
Provider Partners Health Plan of North Carolina: payer ID and claims support
Provider Partners Health Plan of North Carolina uses payer ID 31406. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.
Payer ID
31406MedicareProvider Partners Health Plan of North Carolina at a glance
What billers need before running a check.
Payer ID
31406Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Medicare
Operating area
North Carolina
Payer website
www.pphealthplan.comSupported transactions
What can be exchanged electronically with Provider Partners Health Plan of North Carolina 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 Provider Partners Health Plan of North Carolina?+–
Provider Partners Health Plan of North Carolina uses payer ID 31406.
Does Provider Partners Health Plan of North Carolina support real-time eligibility verification?+–
Not electronically today. Coverage for Provider Partners Health Plan of North Carolina has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.
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