Priority Health
Also covers / subsidiaries: Priority Health Plan
Core Payer & Clearinghouse Profile
Electronic Payer ID
10490
From Priority Health claims guidance — verify against the prism/EDI payer list.
Timely Filing Limit (TFL)
12 months from date of service
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
EDI via clearinghouses (payer ID 38217)
Provider Services
800-942-4765
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Priority Health Claims, P.O. Box 232, Grand Rapids, MI 49501
Provider Portal
https://www.priorityhealth.com/provider
Michigan plan with commercial, Medicaid, and Medicare Advantage lines. Provider portal is branded 'prism.'
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Priority Health.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Priority Health.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Priority Health | 10490 | Par | None | 837P837I270/271276/277Dental |
| Priority Health | 38217 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Priority Health 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 Priority Health Denials & Delayed Payments?
Aethera's billing specialists work Priority Health every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.