Capital Health Plan
Also covers / subsidiaries: CHP
Core Payer & Clearinghouse Profile
Electronic Payer ID
13278
95112 confirmed via Availity 835 doc; ERA requires pre-enrollment.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity; EFT via PaySpan
Provider Services
850-523-7361
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://chp.healthtrioconnect.com
Tallahassee/Leon County commercial HMO + Medicare Advantage; an Independent Licensee of the BCBS Association. Filing/appeal deadlines live in the provider contract.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Capital Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Capital Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Capital Health Plan | 13278 | Non-Par | None | 837P837I270/271Dental |
| Capital Health Plan | 95112 | Non-Par | None | 837P837I |
Resolution Tools for Capital Health Plan Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Capital Health Plan Denials & Delayed Payments?
Aethera's billing specialists work Capital Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.