Capital District Physicians' Health Plan
Also covers / subsidiaries: CDPHP, CDPHP Universal Benefits
Core Payer & Clearinghouse Profile
Electronic Payer ID
CDPHP
EDI payer ID SX065 per clearinghouse listings.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Adjustment/review requests within 180 days of the claim adjudication date
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
800-926-7526
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
CDPHP, P.O. Box 66602, Albany, NY
Provider Portal
https://www.cdphp.com/providers
New York (Capital District) based; also Medicare and Medicaid lines.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Capital District Physicians' Health Plan.
Resolution Tools for Capital District Physicians' 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 District Physicians' Health Plan Denials & Delayed Payments?
Aethera's billing specialists work Capital District Physicians' Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.