What payor ID is 68069?

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Payer ID 68069 belongs to Centene Corporation (Medical) and its various statewide health plans, Medicaid organizations, and managed care programs.

📊 Overview of Payer ID 68069

  • Primary Entity: Centene Corporation (Medical)
  • Supported Transactions: Professional (837P), Institutional (837I) claims, Eligibility/Benefits (270/271), and ERA/EFT (835).
  • Associated Behavioral Health ID: Usually separate (Payer ID 68068).

🗓 Affiliated Plans & State Programs

Payer ID 68069 is used across numerous regional and specialized Centene-affiliated health plans, including:

  • Ambetter (various state-specific exchange plans)
  • Wellcare (by Allwell / Medicare lines of business)
  • Sunshine Health (Florida)
  • Superior HealthPlan (Texas)
  • Home State Health (Missouri)
  • New Hampshire Healthy Families
  • Coordinated Care (Washington)

What is payer ID 68069?

Payer ID 68069 is the electronic data interchange (EDI) destination code used for submitting medical, professional, and institutional claims to Centene Corporation Group and many of its state-specific health plans, subsidiaries, and managed care programs.

Key Details

  • Parent Organization: Centene Corporation
  • Supported Transactions: Professional claims (837P), institutional claims (837I), eligibility and benefits verification (270/271), and electronic remittance advice (835 ERA).
  • Excluded Transactions: Behavioral health claims often use a separate ID (such as 68068), and dental claims (837D) may require a different routing.
  • Common Affiliated Plans: Ambetter, Wellcare (by Allwell), Sunshine Health, SuperiorHealthPlan, Home State Health, and numerous other regional state plans.

How to find a payor ID?

You can find an insurance carrier's electronic routing code using tools like the Payer ID Lookup tool.

Where to Look for a Payer ID

  • Insurance Card: Check the back or front of the patient's insurance card under the "Claims Submission," "Electronic Claims," or "Payer ID" section. Payer IDs are usually 5 characters long, but they can be longer and may include letters or numbers.
  • Clearinghouse Payer List: Search the public payer directory provided by your specific medical billing clearinghouse (such as the Office Ally Payer List). Always verify the ID matches your specific clearinghouse, as codes can sometimes vary.
  • Practice Management Software: Use the built-in payer search or insurance directory inside your electronic health record (EHR) or billing platform.

What type of insurance is Superior HealthPlan?

Superior HealthPlan is a managed care organization (MCO) that provides government-sponsored and individual health insurance programs in Texas.

Types of Coverage Offered

  • Medicaid Programs: Includes STAR (for low-income families and children), STAR+PLUS (for adults with disabilities or who are elderly), STAR Kids (for children and youth with special needs), and STAR Health (exclusive coverage for children in foster care).
  • Children's Health Insurance Program (CHIP): Low-cost or free health coverage for children of working families who earn too much for traditional Medicaid.
  • Medicare Plans: Medicare Advantage and dual-eligible plans offered through partnerships like Wellcare by Allwell and Wellcare by Superior HealthPlan.
  • Marketplace Insurance: Individual and family health plans offered on the Health Insurance Exchange under the name Ambetter from Superior HealthPlan.

What is the UMR payer ID for UnitedHealthcare?

The electronic payer ID for UMR (a UnitedHealthcare company) is 39026.

While standard UnitedHealthcare commercial and medical plans often use payer ID 87726, UMR-administered and specific self-funded or affiliate plans generally require payer ID 39026.

Important Submission Details

  • Electronic Claims: Submit through your clearinghouse using payer ID 39026. Always verify the specific ID listed on the back of the member's insurance card, as some specialized or legacy plans can vary.
  • Mailing Address (Paper Claims):
    UMR
    P.O. Box 211762
    Eagan, MN 55121
9 related questions found

What is my Blue Shield of California payor ID?

The electronic commercial payer ID for Blue Shield of California is 94036 (sometimes listed as 100935 or CABC0 depending on your clearinghouse).

Payer ID Breakdown

  • Commercial / Standard Plans: 94036 (Alternate: 100935)
  • Blue Shield Promise Health Plan (Medicaid/Medi-Cal): C1SCA or 57115 (varies by clearinghouse)
  • Common Alternate IDs: 10053, 1409, 6569, 8855

Can I find the Optum Era payer list?

Yes, you can find the Optum Electronic Remittance Advice (ERA) payer list online through Optum's official portals and document resources.

Where to Find the Optum ERA Payer List

What are the payer IDs for Availity?

You can find the complete, searchable list of active health plans and their specific routing codes on the official Availity Payer List.

Availity functions as a multi-payer clearinghouse and portal, meaning it supports thousands of distinct insurance companies, state entities, and third-party administrators, each maintaining a unique routing identifier (payer ID).

How to Find Specific Payer IDs in Availity

  • Public Directory: View or filter all available insurance companies, required enrollment types, and supported transactions (such as 270/271 eligibility or 837 claims) directly through the public Availity Payer List.
  • In the Portal: Log in to your Availity Essentials account, click on Claims & Payments or Payer Spaces, and select Payer List from the menu, or type "payer list" into the top search bar.
  • Line of Business Variations: Note that a single insurance network may use different routing codes depending on the specific product or state. For example, commercial plans and Medicare Advantage plans for the same provider often require separate payer IDs.

Is group ID the same as payor ID?

No, a payer ID is not the same as a group number. They serve completely different purposes and identify different entities in the insurance and billing process.

What is a Payer ID?

  • Definition: A unique code (usually five or more characters, letters, or numbers) assigned to a specific insurance company.
  • Purpose: It allows healthcare providers and insurance companies to send and process claims electronically.
  • Location: Usually found on the back of an insurance card under the provider or claims submission section.

What is a Group Number?

  • Definition: A code assigned to a specific employer or organization's benefit plan.
  • Purpose: It identifies the specific group policy and package of benefits that cover a set of employees or members. Everyone on the same employer plan shares this number.
  • Location: Usually found on the front of an insurance card.

What is payor ID 87726?

Payor ID 87726 is the primary electronic payer ID used for submitting claims, checking eligibility, and managing benefits for UnitedHealthcare commercial and many affiliated health plans.

Overview of Payor ID 87726

  • Primary Insurance: UnitedHealthcare (UHC)
  • Supported Transactions: Professional claims (CMS-1500), Institutional claims (UB-04), dental/vision claims, and eligibility or benefit verification (270/271)
  • Enrollment: Electronic claims and eligibility checks typically require no special enrollment, but electronic remittance advice (ERA/835) may require setup through your clearinghouse or UnitedHealthcare.

Important Billing Tips

  • Verify the Card: Some UHC-affiliated state Medicaid plans, behavioral health networks, or legacy regional groups use separate, specific payer IDs.
  • Check Clearinghouse Details: Always cross-reference the member’s physical insurance card and your clearinghouse payer list before final submission.