What is the Stedi payer ID for Prominence Health Plan?

The Stedi payer ID for Prominence Health Plan is AOGXN.

What is the primary payer ID for Prominence Health Plan?

The primary payer ID for Prominence Health Plan is 88082.

What payer IDs does Prominence Health Plan use?

In addition to its primary payer ID 88082, Prominence Health Plan uses several other payer IDs, including 2700, 7568, and 88082.

What transactions does Prominence Health Plan support?

Prominence Health Plan supports the following transactions: 837P professional claims, 837D dental claims, and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Prominence Health Plan supports COB checks through Stedi.

All payers

PAYER

Prominence Health Plan

This page contains information you can use to exchange healthcare transactions with Prominence Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Prominence Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

88082

Stedi Payer ID

AOGXN

Payer ID aliases

2700, 7568, 88082

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Prominence Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Prominence Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Prominence Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Prominence Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prominence Health Plan to review full payment details.

Supported

Dental claims

(837D)

Submit dental claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prominence Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Prominence Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Prominence Health Plan today.

Payer Network

All payers

PAYER

Prominence Health Plan

This page contains information you can use to exchange healthcare transactions with Prominence Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Prominence Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

88082

Stedi Payer ID

AOGXN

Payer ID aliases

2700, 7568, 88082

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Prominence Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Prominence Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Prominence Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Prominence Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prominence Health Plan to review full payment details.

Supported

Dental claims

(837D)

Submit dental claims to Prominence Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prominence Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Prominence Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Prominence Health Plan today.