Payer Directory

How to check Primary Care Coalition eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Primary Care Coalition 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 PCCMCScreen agent · setup required

Three ways to verify Primary Care Coalition 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.

Primary Care Coalition at a glance

What billers need before running a check.

Payer ID

PCCMC

Also known as 9198

Real-time eligibility

Via screen agent

Primary Care Coalition has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.

Coverage

medical

Operating area

Not published

Supported transactions

What can be exchanged electronically with Primary Care Coalition 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	ENROLLMENT REQUIRED
Institutional claims (837I) Facility claims	ENROLLMENT REQUIRED
Dental claims (837D) Dental claims	NOT AVAILABLE
Remittance (835 ERA) Electronic remittance advice	NOT AVAILABLE
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 Primary Care Coalition?+

Primary Care Coalition uses payer ID PCCMC. It also appears as 9198 in some systems.

Does Primary Care Coalition support real-time eligibility verification?+

Primary Care Coalition 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.

How long does a Primary Care Coalition 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.