What is the Stedi payer ID for Physicians Health Plan Management Systems?

The Stedi payer ID for Physicians Health Plan Management Systems is GKXWB.

What is the primary payer ID for Physicians Health Plan Management Systems?

The primary payer ID for Physicians Health Plan Management Systems is PHPMSI.

What payer IDs does Physicians Health Plan Management Systems use?

In addition to its primary payer ID PHPMSI, Physicians Health Plan Management Systems uses several other payer IDs, including 7747 and PHPMSI.

What transactions does Physicians Health Plan Management Systems support?

Physicians Health Plan Management Systems 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. Physicians Health Plan Management Systems supports COB checks through Stedi.

All payers

PAYER

Physicians Health Plan Management Systems

This page contains information you can use to exchange healthcare transactions with Physicians Health Plan Management Systems using Stedi.

Use any of the following payer IDs to send transactions to Physicians Health Plan Management Systems using Stedi APIs or SFTP. Read the docs

Primary Payer ID

PHPMSI

Stedi Payer ID

GKXWB

Payer ID aliases

7747, PHPMSI

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Physicians Health Plan Management Systems 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 Physicians Health Plan Management Systems.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Physicians Health Plan Management Systems 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 Physicians Health Plan Management Systems in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Physicians Health Plan Management Systems to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Physicians Health Plan Management Systems.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Physicians Health Plan Management Systems and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Physicians Health Plan Management Systems today.

Payer Network

All payers

PAYER

Physicians Health Plan Management Systems

This page contains information you can use to exchange healthcare transactions with Physicians Health Plan Management Systems using Stedi.

Use any of the following payer IDs to send transactions to Physicians Health Plan Management Systems using Stedi APIs or SFTP. Read the docs

Primary Payer ID

PHPMSI

Stedi Payer ID

GKXWB

Payer ID aliases

7747, PHPMSI

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Physicians Health Plan Management Systems 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 Physicians Health Plan Management Systems.

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 Physicians Health Plan Management Systems in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Physicians Health Plan Management Systems to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Physicians Health Plan Management Systems and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Physicians Health Plan Management Systems.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Physicians Health Plan Management Systems and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Physicians Health Plan Management Systems today.