Paramount Health Care
Also covers / subsidiaries: Paramount Insurance Company, Paramount Advantage
Core Payer & Clearinghouse Profile
Electronic Payer ID
SX158
No EDI claims payer ID published; Paramount directs providers to its clearinghouse/payer-ID list and Trading Partner Agreement. Submit per the member ID card.
Timely Filing Limit (TFL)
Varies — confirm via portal / clearinghouse
Appeal Window
Per provider agreement; non-par appeals responded to within 60 days
Clearinghouse Gateway
Availity (and others via Trading Partner Agreement)
Provider Services
800-891-2542
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Paramount, P.O. Box 928, Toledo, OH 43697-0928
Provider Portal
https://www.myparamount.org/
Paramount's commercial/Medicare lines acquired by Medical Mutual (2024); electronic-only claims effective Sept 1, 2025.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Paramount Health Care.
Resolution Tools for Paramount Health Care 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 Paramount Health Care Denials & Delayed Payments?
Aethera's billing specialists work Paramount Health Care every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.