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Geisinger Health Plan

Geisinger Health Plan

This page contains information you can use to exchange healthcare transactions with Geisinger Health Plan using Stedi.
Use any of the following payer IDs to send transactions to Geisinger Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
75273
Stedi Payer ID
COTRQ
Payer ID aliases
10611, 2559, 5473, 75273, 75273MA, 9274, GEISHP, GEISINGERDIRECT, GHP22
Parent group
Geisinger Insurance Group
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Geisinger Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Geisinger Health Plan.
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Geisinger Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

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

Professional claims

(837P)
Submit professional claims to Geisinger Health Plan and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Geisinger Health Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Geisinger Health Plan to review full payment details.
Supported

Dental claims

(837D)
Submit dental claims to Geisinger Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Geisinger Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Geisinger Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Geisinger Health Plan today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
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