Western Health Advantage
Also covers / subsidiaries: WHA
Core Payer & Clearinghouse Profile
Electronic Payer ID
10201
Claims ID 68039 is distinct from WHA's real-time eligibility ID 'WSTHA' — do not use WSTHA for claims.
Timely Filing Limit (TFL)
365 days from date of service
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Office Ally; Claim.MD
Provider Services
844-870-2178
Claims Fax
916-568-0331
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://www.westernhealth.com/provider/
Commercial HMO for greater Sacramento and Northern CA. Paper claims address varies by medical group/IPA.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Western Health Advantage.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Western Health Advantage.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Western Health Advantage | 10201 | Par | None | 837P837I270/271276/277Dental |
| Western Health Advantage | 68039 | Non-Par | Required | 837P837I835 ERA |
| Western Health Advantage | 77230 | Par | None | 837P837I835 ERA |
Resolution Tools for Western Health Advantage 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 Western Health Advantage Denials & Delayed Payments?
Aethera's billing specialists work Western Health Advantage every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.