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PrimeWest Health

PrimeWest Health

This page contains information you can use to exchange healthcare transactions with PrimeWest Health using Stedi.
Use any of the following payer IDs to send transactions to PrimeWest Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
61604
Stedi Payer ID
GIOJF
Payer ID aliases
10494, 2786, 61604, LX049, PRMWST
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with PrimeWest Health using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to PrimeWest Health.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to PrimeWest Health to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from PrimeWest Health to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to PrimeWest Health.
Get started
Use Stedi's APIs to get fast and reliable connectivity to PrimeWest Health and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and PrimeWest Health today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • PrimeWest Health Plan
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