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Payer Directory
How to check Hometown Health Plan MA HMO eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Hometown Health Plan MA HMO 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
58379Screen agent · setup requiredThree ways to verify Hometown Health Plan MA HMO coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Hometown Health Plan MA HMO at a glance
What billers need before running a check.
Payer ID
58379Also known as 00094, 8155
Real-time eligibility
Via screen agent
Hometown Health Plan MA HMO has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
dental, medical
Operating area
Nevada
Payer website
p3hp.orgSupported transactions
What can be exchanged electronically with Hometown Health Plan MA HMO today.
| Transaction | Status |
|---|---|
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 | SUPPORTED |
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 portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$7.97 staff time* | ~$7.97+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Hometown Health Plan MA HMO?+–
Hometown Health Plan MA HMO uses payer ID 58379. It also appears as 00094, 8155 in some systems.
Does Hometown Health Plan MA HMO support real-time eligibility verification?+–
Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO eligibility check
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
Billing more than Hometown Health Plan MA HMO? — 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
