Supported transactions
| Transaction | Status |
|---|---|
| Eligibility & benefits (270/271) | Supported |
| Claim status (276/277) | Not supported |
| Professional claims (837P) | Not supported |
| Institutional claims (837I) | Not supported |
| Dental claims (837D) | Supported |
| Electronic remittance (ERA 835) | Enrollment required |
| Electronic funds transfer (EFT) | Not supported |
| ERA + EFT combined | Not supported |
| Coordination of benefits (271) | Not supported |
| Attachments (275) | Not supported |
Other payer IDs and names
- Payer ID
14496 - Payer ID
2173 - Payer ID
2716 - Payer ID
ISCHP - Also listed as Alameda Alliance Wellness (Dental plan from Alameda Alliance for Health)
- Also listed as CalOptima - OneCare Dental
- Also listed as Care1st Health Plan - Medicare Advantage Dental
- Also listed as Care1st Health Plan - PHP Los Angeles & San Bernardino County Dental
- Also listed as Community Health Plan - HMO Dental & PPO Dental
- Also listed as Community Health Plan - PPO Dental & PPO Family Dental
- Also listed as EasyChoice Health Plan - Dental
- Also listed as Golden State Medicare Health Plan - Dental
- Also listed as Health Net - Healthy Families Dental A, B & C
- Also listed as Health Net - LA & Sacramento Dental
- Also listed as Health Net - Los Angeles PHP Dental
- Also listed as Health Net - Sacramento GMC Dental
Coverage states
California, Florida, Hawaii, Illinois, Missouri, New Jersey, Nevada, New York, Oklahoma, Texas.
Enrollment requirements
- Electronic remittance (ERA 835): one click enrollment, typically takes weeks
Plan the workflow
- Use 837D only for dental claims; do not route professional or institutional claims through this payer’s electronic connection.
- Run 270/271 eligibility and benefits checks before visits; use your approved non-electronic process for coordination of benefits.
- Complete payer enrollment before expecting 835 ERA files; until approval, reconcile payments and remittance through your existing workflow.
- Do not wait for a 276/277 response; track claim status through this payer’s available non-electronic process.
- Plan payments separately because this payer does not support EFT or combined ERA and EFT.
Common questions
Can I submit dental claims electronically to this payer?
Yes. Dental claims can be sent electronically as 837D.
Can I verify eligibility and benefits electronically?
Yes. This payer supports electronic eligibility and benefits transactions using 270/271.
How do I receive ERA 835 files from this payer?
ERA 835 is supported after your practice completes payer enrollment. Submit the required enrollment paperwork before expecting electronic remittance.
Can I send medical claims or check claim status electronically?
No. This payer does not support 837P, 837I, or 276/277 electronically.
Run this payer inside Hero EMR
Hero EMR submits claims, checks eligibility, and posts remittances automatically for the payers it connects to. The first physician is free.
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