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Providence Health Assurance Medicaid

Providence Health Assurance Medicaid

This page contains information you can use to exchange healthcare transactions with Providence Health Assurance Medicaid using Stedi.
Use any of the following payer IDs to send transactions to Providence Health Assurance Medicaid using Stedi APIs or SFTP. Read the docs
Primary Payer ID
77350
Stedi Payer ID
DCGFO
Payer ID aliases
5006, 77350, 8849, PHAMCD
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Providence Health Assurance Medicaid 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 Providence Health Assurance Medicaid.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Providence Health Assurance Medicaid 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 Providence Health Assurance Medicaid in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Providence Health Assurance Medicaid and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Providence Health Assurance Medicaid to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Providence Health Assurance Medicaid and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Providence Health Assurance Medicaid.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Providence Health Assurance Medicaid and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Providence Health Assurance Medicaid today.
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