What is the Stedi payer ID for Exemplar Health Insurance Company (Medicare)?

The Stedi payer ID for Exemplar Health Insurance Company (Medicare) is DOBEG.

What is the primary payer ID for Exemplar Health Insurance Company (Medicare)?

The primary payer ID for Exemplar Health Insurance Company (Medicare) is 54096.

What payer IDs does Exemplar Health Insurance Company (Medicare) use?

In addition to its primary payer ID 54096, Exemplar Health Insurance Company (Medicare) uses several other payer IDs, including 54096.

What transactions does Exemplar Health Insurance Company (Medicare) support?

Exemplar Health Insurance Company (Medicare) supports the following transactions: 837P professional 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. Exemplar Health Insurance Company (Medicare) supports COB checks through Stedi.

What is the official website for Exemplar Health Insurance Company (Medicare)?

The official website for Exemplar Health Insurance Company (Medicare) is https://www.exemplarhpo.com.

All payers

PAYER

Exemplar Health Insurance Company (Medicare)

This page contains information you can use to exchange healthcare transactions with Exemplar Health Insurance Company (Medicare) using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Exemplar Health Insurance Company (Medicare) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Exemplar Health Insurance Company (Medicare) 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 Exemplar Health Insurance Company (Medicare).

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Exemplar Health Insurance Company (Medicare) to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Exemplar Health Insurance Company (Medicare).

Get started

Start processing healthcare transactions with Stedi and Exemplar Health Insurance Company (Medicare) today.

Payer Network

All payers

PAYER

Exemplar Health Insurance Company (Medicare)

This page contains information you can use to exchange healthcare transactions with Exemplar Health Insurance Company (Medicare) using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Exemplar Health Insurance Company (Medicare) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Exemplar Health Insurance Company (Medicare) 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 Exemplar Health Insurance Company (Medicare).

Not supported

Coordination of benefits checks

(COB)

Claims processing

Not supported

Real-time claim status

(276/277)

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

Supported

Professional claims

(837P)

Submit professional claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Exemplar Health Insurance Company (Medicare) to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Exemplar Health Insurance Company (Medicare) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Exemplar Health Insurance Company (Medicare).

Get started

Start processing healthcare transactions with Stedi and Exemplar Health Insurance Company (Medicare) today.