PerformCare PA: Payer ID 65391, 60-Day Timely Filing, Claims Line
PerformCare manages HealthChoices behavioral health in Cumberland, Dauphin, Franklin, Fulton, Lancaster, Lebanon, and Perry counties. Its timely filing limit is the detail that costs practices the most money.
Short answer
PerformCare's EDI payer ID is 65391. Its timely filing limit is 60 days from the date of service for initial claims and 365 days for resubmissions and corrections; claims with a primary insurer's EOB are due within 60 days of the EOB date. Claims go through Availity, Optum/Change Healthcare, or PCH Global, or on paper to P.O. Box 7308, London, KY 40742. The claims department is at 1-888-700-7370, option 1.
Where PerformCare fits
Pennsylvania carves behavioral health out of HealthChoices. Each county, or group of counties, contracts a Behavioral Health Managed Care Organization, and the member's county of Medicaid eligibility decides which one you bill, regardless of their physical health plan. Confirm the member's county and BH-MCO in the state's Eligibility Verification System before every new episode.
| What | Detail |
|---|---|
| Counties | Cumberland, Dauphin, Franklin, Fulton, Lancaster, Lebanon, Perry |
| EDI payer ID | 65391 |
| Initial claims | 60 days from date of service |
| Resubmissions and corrections | 365 days from date of service |
| With a primary insurer's EOB | 60 days from the EOB date; dates and amounts must match |
| Paper claims | PerformCare of Pennsylvania, HealthChoices, P.O. Box 7308, London, KY 40742 |
| Claims department | 1-888-700-7370, option 1 |
As of October 2026.
Submission routes
- Availity. Register at Availity or ask Availity to route PerformCare claims there if you use it for another payer.
- Optum/Change Healthcare. Through your software vendor or clearinghouse, or free direct entry through ConnectCenter.
- PCH Global. Search the payer as AmeriHealth PerformCare, P.O. Box 7308.
Where claims go wrong
- Past 60 days. Initial claims filed on a 90- or 180-day habit deny for timely filing.
- EOB mismatch. Secondary claims whose dates or dollar amounts do not match the primary EOB are rejected.
- Not routed. Clearinghouse never set up to route PerformCare, so claims never arrive.
- No authorization. Use PerformCare's prior authorization lookup tool before the service.
The other Pennsylvania BH-MCOs: Community Care, Magellan, PerformCare, Carelon, CBH Philadelphia. Overview: Pennsylvania Medicaid behavioral health billing.
Sources, read October 16, 2026: PerformCare claims and billing; PerformCare providers. Confirm current details on the plan's provider site.
Frequently asked questions
What is PerformCare's payer ID in Pennsylvania?
65391, as of October 2026.
What is PerformCare's timely filing limit?
60 days from the date of service for initial claims, and 365 days for resubmissions and corrections.
What is the PerformCare claims phone number?
1-888-700-7370, option 1, for the claims department.
Which counties does PerformCare cover?
Cumberland, Dauphin, Franklin, Fulton, Lancaster, Lebanon, and Perry.
Filed inside 60 days, every time.
See Stable submit PerformCare claims with payer ID 65391 well inside the timely filing window.
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