Updated September 1, 2026
Verify Physicians Health Plan (PHP) of Northern Indiana eligibility in real time.
Physicians Health Plan (PHP) of Northern Indiana supports electronic real-time eligibility. Send the check to payer ID 12399 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: PHPNI · Physicians Health Plan (PHP) Northern Indiana
Seconds
The same Physicians Health Plan (PHP) of Northern Indiana check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
3 billing names
Physicians Health Plan (PHP) of Northern Indiana shows up on cards under 3 names. Every one routes to payer ID 12399, and so do 5 older payer IDs still printed on cards. No guessing which card this is.
4 Physicians plans
verify in real time through Valian. One setup covers the whole Physicians family, Physicians Health Plan (PHP) of Northern Indiana included.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Physicians Health Plan (PHP) of Northern Indiana by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID 12399, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Physicians Health Plan (PHP) of Northern Indiana eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Physicians Health Plan (PHP) of Northern Indiana reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID 12399
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Physicians Health Plan (PHP) of Northern Indiana included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Physicians Health Plan (PHP) Northern IN supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Yes
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically within hours
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Physicians Health Plan (PHP) of Northern Indiana · PHPNI · Physicians Health Plan (PHP) Northern Indiana. Older cards may show payer ID 10658, 3596, 3815, 507 and PHPNI. All of them route to payer ID 12399.
Payer site: www.phpni.com
How to verify Physicians Health Plan (PHP) of Northern Indiana, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID 12399.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Physicians Health Plan (PHP) of Northern Indiana runs Commercial plans across Indiana.
Physicians Health Plan (PHP) of Northern Indiana, for your front desk
From Physicians Health Plan (PHP) of Northern Indiana's own provider pages.
- Provider email
- providerservices@phpni.com
Source: Physicians Health Plan (PHP) of Northern Indiana, provider remittance advice page. Checked September 19, 2026.
Physicians Health Plan (PHP) of Northern Indiana, quick answers
Does Physicians Health Plan (PHP) of Northern Indiana support real-time eligibility?
Yes. Eligibility checks to Physicians Health Plan (PHP) of Northern Indiana clear electronically in seconds through payer ID 12399.
What payer ID do I use for Physicians Health Plan (PHP) of Northern Indiana?
12399 for eligibility transactions. The same payer also appears on cards as PHPNI, Physicians Health Plan (PHP) Northern Indiana.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Physicians Health Plan (PHP) of Northern Indiana require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Physicians Health Plan (PHP) of Northern Indiana plans does this cover?
Physicians Health Plan (PHP) of Northern Indiana runs Commercial plans in Indiana. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Physicians Health Plan (PHP) of Northern Indiana remittances electronically?
Yes. Physicians Health Plan (PHP) of Northern Indiana sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Physicians name?
Alternate billing names route to the same payer ID, 12399. The same check covers them.
More questions about verifying Physicians Health Plan (PHP) of Northern Indiana? Schedule 15 minutes with us and bring your toughest plan.
Check any Physicians Health Plan (PHP) of Northern Indiana patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Other Indiana dental payers
21 other payers operating in Indiana also verify in real time, 6 of them with Medicaid plans.
- Anthem Blue Cross Blue Shield of Indiana130
- Anthem Blue Cross Blue Shield of Indiana - DentalAD130
- Blue Cross and Blue Shield of IllinoisG00621
- CareSourceCRSCK
- CareSource IndianaINCS1
- Delta Dental IndianaDELTI
- Devoted HealthDEVOT
- Indiana MedicaidIHCP
- Indiana University Health Plan - Medicare Advantage95444
Medicaid plans in Indiana: Anthem Blue Cross Blue Shield of Indiana, Blue Cross and Blue Shield of Illinois, CareSource, Indiana Medicaid, MDwise (Healthy Indiana Plan), MDwise (Hoosier Healthwise).
The Physicians family in the network
4 Physicians plans verify in real time through Valian.
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.