Supported Transactions and Enrollment
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Supported |
| Professional claims (837P) | Supported |
| Institutional claims (837I) | Supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Enrollment required |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Supported |
Other payer IDs and names
- Payer ID
00041 - Payer ID
10100 - Payer ID
10353 - Payer ID
11213 - Payer ID
14325 - Payer ID
2449 - Payer ID
4544 - Payer ID
61101MA - Payer ID
61108 - Payer ID
62073 - Payer ID
65031 - Payer ID
65031MA - Payer ID
73288 - Payer ID
HUMANA - Payer ID
XYMXQ - Payer ID
Z96304 - Also listed as Arcadian Management Services
- Also listed as CareSource Kentucky
- Also listed as CareSource Kentucky Marketplace
- Also listed as CareSource Medicaid Kentucky
- Also listed as CareSource Medicare Advantage Kentucky
- Also listed as Careplus health plans
- Also listed as Cariten Healthcare
- Also listed as Cariten Senior Health
- Also listed as Eagle Creek Medical Plaza
- Also listed as Emphesys
- Also listed as Emphesys Insurance Company
- Also listed as Health Value Management
Enrollment requirements
- Electronic remittance (ERA 835): multi step enrollment, typically takes weeks
- ERA + EFT combined: multi step enrollment, typically takes weeks
Workflow Notes for This Payer
- Match the electronic claim format to the claim type: 837P professional, 837I institutional, or 837D dental.
- Send 275 attachments electronically when supporting documentation is needed for a claim.
- Use 276/277 to check claim status instead of relying on eligibility transactions for status updates.
- Complete payer enrollment before requesting ERA 835 or the combined ERA plus EFT option.
- Do not expect coordination-of-benefits details through 270/271; route COB work through a separate process.
Common questions
Can I submit professional, institutional, and dental claims electronically to this payer?
Yes. Use 837P for professional claims, 837I for institutional claims, and 837D for dental claims. Electronic attachments through 275 are also supported.
Can I verify eligibility and benefits electronically?
Yes, eligibility and benefits use 270/271. The 271 transaction does not support coordination-of-benefits information, so use a separate process for COB.
How do I receive an ERA from this payer?
ERA 835 is supported after payer enrollment. The combined ERA plus EFT option is also available after enrollment, so complete enrollment before using either workflow.
Does this payer support electronic funds transfer?
Standalone EFT is not available. EFT can be used through the supported combined ERA plus EFT option after payer enrollment.
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