Updated September 1, 2026
Verify Providence Health Plan eligibility in real time.
Providence Health Plan supports electronic real-time eligibility. Send the check to payer ID PHP01 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: NP PHP medicare · PeaceHealth Laboratories · Providence Choice Option
Seconds
The same Providence Health Plan check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
4 billing names
Providence Health Plan shows up on cards under 4 names. Every one routes to payer ID PHP01, and so do 9 older payer IDs still printed on cards. No guessing which card this is.
CA, OR, WA
Providence Health Plan covers dental, medical, vision. Sign in and check any patient in one click before they arrive.
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 Providence Health Plan 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 PHP01, 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 Providence Health Plan 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 Providence Health Plan 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 PHP01
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, Providence Health Plan 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 Providence Health Plan supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Not through our network
- Claim status (276/277)
- Yes
- Electronic remittance (835)
- Yes, after a one-click enrollment, typically a few days
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Providence Health Plan · NP PHP medicare · PeaceHealth Laboratories · Providence Choice Option. Older cards may show payer ID 101039, 10172, 1540, 4498 and 4498MA. All of them route to payer ID PHP01.
Payer site: www.providencehealthplan.com
How to verify Providence Health Plan, 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 PHP01.
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.
Providence Health Plan, for your front desk
From Providence Health Plan's own provider pages.
- Provider email
- PHPEDISupport@Providence.org
Source: Providence Health Plan, electronic claims page. Checked September 19, 2026.
Providence Health Plan, quick answers
Does Providence Health Plan support real-time eligibility?
Yes. Eligibility checks to Providence Health Plan clear electronically in seconds through payer ID PHP01.
What payer ID do I use for Providence Health Plan?
PHP01 for eligibility transactions. The same payer also appears on cards as NP PHP medicare, PeaceHealth Laboratories, Providence Choice Option.
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 Providence Health Plan require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Can I get Providence Health Plan remittances electronically?
Yes. Providence Health Plan sends electronic remittance advice (835) after a one-click enrollment, typically a few days.
What if the patient's card shows a different Providence name?
Alternate billing names route to the same payer ID, PHP01. The same check covers them.
More questions about verifying Providence Health Plan? Schedule 15 minutes with us and bring your toughest plan.
Check any Providence Health Plan 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 California dental payers
41 other payers operating in California also verify in real time, 16 of them with Medicaid plans.
- Aetna Better Health California128CA
- Alignment Health PlanCCHPC
- Allegiance Benefit Plan Management Incorporated81040
- AltaMedALTAM
- Anthem Blue Cross Blue Shield of California040
- Blue Shield of California100935
- Blue Shield of California - FederalBSCA2
- Blue Shield of California Promise Health PlanC1SCA
- Blue Shield of California Promise Health Plan57115
Medicaid plans in California: Aetna Better Health California, AltaMed, Blue Shield of California, Blue Shield of California Promise Health Plan, Blue Shield of California Promise Health Plan, Commonwealth Care Alliance (CCA), and 10 more.
Other Oregon dental payers
29 other payers operating in Oregon also verify in real time, 14 of them with Medicaid plans.
- Advanced HealthDOCSO
- All Smiles Community Oral HealthDENT3
- AllCare Health CCOMRIPA
- Atrio Health PlansATRIO
- Blue Shield of California100935
- BridgeSpan HealthBRIDG
- CareOregon93975
- Cascade Health AllianceCHA01
- Delta Dental of OregonCDOR1
Medicaid plans in Oregon: Advanced Health, AllCare Health CCO, Blue Shield of California, CareOregon, Cascade Health Alliance, Health Share of Oregon, and 8 more.
Other Washington dental payers
27 other payers operating in Washington also verify in real time, 6 of them with Medicaid plans.
- Allegiance Benefit Plan Management Incorporated81040
- Asuris Northwest Health93221
- Blue Shield of California100935
- BridgeSpan HealthBRIDG
- Community Health Plan of WashingtonCHPWA
- Delta Dental of Washington91062
- Devoted HealthDEVOT
- Essence Healthcare20818
- Healthcare Management Administrators (HMA)HMA01
Medicaid plans in Washington: Blue Shield of California, Community Health Plan of Washington, Medicaid Washington, Molina HealthCare Washington, Providence PACE, SCAN Health Plan.
Related payers
- Verify Providence PACE eligibility
- Verify Aetna Better Health California eligibility
- Verify Alignment Health Plan eligibility
- Verify Allegiance Benefit Plan Management Incorporated eligibility
- Verify AltaMed eligibility
- Verify Anthem Blue Cross Blue Shield of California eligibility
More payers operating in California · More payers operating in Oregon · More payers operating in Washington
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.