Payer ID 42344: Keystone First Community HealthChoices

Where payer ID 42344 goes on a claim

On an electronic professional (837P) or institutional (837I) claim, the payer is identified in loop 2010BB, the payer name loop. The NM1 segment there carries entity identifier code PR (payer), the payer's name, the qualifier PI in NM108, and the payer ID itself in NM109:

NM1*PR*2*KEYSTONE FIRST COMMUNITY HEALTHCHOICES*****PI*42344~

The same NM1*PR structure names the payer in loop 2100A of 270 eligibility and 276 claim status requests. Many clearinghouses use one payer ID for claims, eligibility, and claim status, but some assign a separate ID per transaction, so check the payer list for each transaction type you send.

Before you submit to payer ID 42344

1. 1

   Read the member's ID card

   The claims payer ID or claims address printed on the card is the most specific source for that member's plan. Where it differs from a directory listing, the card generally reflects how that plan wants claims sent.

2. 2

   Check whether a third-party administrator runs the plan

   Self-funded employer plans route claims to their administrator's payer ID, which is often different from the network or carrier name printed on the card.

3. 3

   Confirm the ID on your clearinghouse's payer list

   Payer IDs are assigned per clearinghouse. Large national payers tend to use the same ID nearly everywhere; regional plans and administrators often do not. Search your clearinghouse's list for 42344 and confirm it maps to Keystone First Community HealthChoices.

4. 4

   Watch the acknowledgments, not just the remittance

   A wrong payer ID fails at the clearinghouse or on the 277CA claim acknowledgment, not as a denial on the 835. A rejected claim was never received by the payer, so the timely filing clock keeps running until a corrected claim is accepted.

Keystone First Community HealthChoices billing reference

• Keystone First Community HealthChoices writes medical coverage in 1 state (PA). Rette indexes 128 Keystone First Community HealthChoices policy documents - coverage criteria, prior authorization requirements, and billing guidelines.

  Keystone First Community HealthChoices timely filing, prior auth, and appeals

Payer ID 42344 questions

Which insurance company uses payer ID 42344?

Payer ID 42344 belongs to Keystone First Community HealthChoices in the Stedi payer network directory. Payer IDs are assigned per clearinghouse, so check 42344 against your own clearinghouse's payer list before submitting.

What is the Keystone First Community HealthChoices payer ID?

The Keystone First Community HealthChoices electronic payer ID is 42344. It goes in loop 2010BB of the 837 claim. Payer IDs are assigned per clearinghouse, so confirm 42344 against your own clearinghouse's payer list before relying on it.

Where do I enter payer ID 42344 on an 837 claim?

In loop 2010BB, the payer name loop: the NM1 segment with entity identifier PR, qualifier PI in NM108, and 42344 in NM109. The same NM1*PR structure identifies the payer in loop 2100A of 270 eligibility and 276 claim status requests, though some clearinghouses assign a different payer ID for those transactions.

Payer IDs for related payers