What is the Stedi payer ID for THE Insurance?

The Stedi payer ID for THE Insurance is DMKRG.

What is the primary payer ID for THE Insurance?

The primary payer ID for THE Insurance is J1791.

What payer IDs does THE Insurance use?

In addition to its primary payer ID J1791, THE Insurance uses several other payer IDs, including J1791.

What transactions does THE Insurance support?

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

What transaction types require transaction enrollment with THE Insurance?

THE Insurance 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. THE Insurance supports COB checks through Stedi.

What other names does THE Insurance go by?

THE Insurance is also known as T H E Insurance.

All payers

PAYER

THE Insurance

This page contains information you can use to exchange healthcare transactions with THE Insurance using Stedi.

Use any of the following payer IDs to send transactions to THE Insurance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1791

Stedi Payer ID

DMKRG

Payer ID aliases

J1791

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with THE Insurance 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 THE Insurance.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from THE Insurance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to THE Insurance.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and THE Insurance today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

T H E Insurance

Payer Network

All payers

PAYER

THE Insurance

This page contains information you can use to exchange healthcare transactions with THE Insurance using Stedi.

Use any of the following payer IDs to send transactions to THE Insurance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1791

Stedi Payer ID

DMKRG

Payer ID aliases

J1791

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with THE Insurance 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 THE Insurance.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from THE Insurance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to THE Insurance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to THE Insurance.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and THE Insurance today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

T H E Insurance