Question 1

What is the Stedi payer ID for Healthways WholeHealth Networks?

Accepted Answer

The Stedi payer ID for Healthways WholeHealth Networks is EKHCN.

Question 2

What is the primary payer ID for Healthways WholeHealth Networks?

Accepted Answer

The primary payer ID for Healthways WholeHealth Networks is 58213.

Question 3

What payer IDs does Healthways WholeHealth Networks use?

Accepted Answer

In addition to its primary payer ID 58213, Healthways WholeHealth Networks uses several other payer IDs, including 00100, 4740, and 58213.

Question 4

What transactions does Healthways WholeHealth Networks support?

Accepted Answer

Healthways WholeHealth Networks supports the following transactions: 837P professional claims and 835 Electronic Remittance Advices (ERAs).

Question 5

What transaction types require transaction enrollment with Healthways WholeHealth Networks?

Accepted Answer

Healthways WholeHealth Networks requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

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

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Healthways WholeHealth Networks supports COB checks through Stedi.

Healthways WholeHealth Networks

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments