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Payer Directory

How to check American Plan Administrators eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. American Plan Administrators has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.

Payer ID 95606Screen agent · setup requiredCommercial

Three ways to verify American Plan Administrators coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
  3. Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

American Plan Administrators at a glance

What billers need before running a check.

Payer ID
95606
Also known as 3027, 8276
Real-time eligibility
Via screen agent
American Plan Administrators has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Commercial
Operating area
Not published
Payer website
apatpa.com

Supported transactions

What can be exchanged electronically with American Plan Administrators today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$7.97 staff time*~$7.97+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for American Plan Administrators?+
American Plan Administrators uses payer ID 95606. It also appears as 3027, 8276 in some systems.
Does American Plan Administrators support real-time eligibility verification?+
American Plan Administrators has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a American Plan Administrators eligibility check take?+
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.

Run your first American Plan Administrators eligibility check

From $0.50 per check, pay-as-you-go. No contract, no implementation project.

Billing more than American Plan Administrators? — upload it and see which of your payers run automatically.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production