What is the Stedi payer ID for Prime Health Choice?

The Stedi payer ID for Prime Health Choice is DFGPQ.

What is the primary payer ID for Prime Health Choice?

The primary payer ID for Prime Health Choice is 81502.

What payer IDs does Prime Health Choice use?

In addition to its primary payer ID 81502, Prime Health Choice uses several other payer IDs, including 1272, 6510, and 81502.

What transactions does Prime Health Choice support?

Prime Health Choice supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Prime Health Choice?

Prime Health Choice requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

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

All payers

PAYER

Prime Health Choice

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

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

Primary Payer ID

81502

Stedi Payer ID

DFGPQ

Payer ID aliases

1272, 6510, 81502

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prime Health Choice 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 Prime Health Choice.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Prime Health Choice 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 Prime Health Choice in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prime Health Choice to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prime Health Choice.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prime Health Choice today.

Payer Network

All payers

PAYER

Prime Health Choice

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

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

Primary Payer ID

81502

Stedi Payer ID

DFGPQ

Payer ID aliases

1272, 6510, 81502

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prime Health Choice 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 Prime Health Choice.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Prime Health Choice 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 Prime Health Choice in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prime Health Choice to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Prime Health Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prime Health Choice.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prime Health Choice today.