Cofinity
Also covers / subsidiaries: PPOM, Cofinity/PPOM
Core Payer & Clearinghouse Profile
Electronic Payer ID
65456
Cofinity is a PPO network (First Health family), not a claims payer; claims route to the member's administering payer/TPA per the member ID card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
800-831-1166
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Cofinity, PO Box 2720, Farmington Hills, MI 48333
Provider Portal
https://providerlocator.firsthealth.com/home/index
Michigan-based PPO network (Aetna/First Health affiliated); bill the payer ID and address on the member ID card.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Cofinity.
Resolution Tools for Cofinity 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 Cofinity Denials & Delayed Payments?
Aethera's billing specialists work Cofinity every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.