Payer Name: Delta Health Systems

Enrollment Required (ENR): No
Type / Model: Commercial/Par
State: CA

Institutional (UB04)

Real Time Eligibility (RTE): NO
Real Time Claim Status (RTS): NO

Electronic Remittance Advice (835) [ERA]: YES

Secondary Electronic Claims (SEC): YES

Note: Please Note: P5 Health Plan Solutions of Utah (87068) was taken over by Delta Health Systems and is no longer active. Providers should refer to the patient?s current healthcare ID card for the administrator of benefits and Payer ID.

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