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
Stedi Payer ID
Payer ID aliases
,
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
Start processing healthcare transactions with Stedi and Physicians Health Plan Management Systems today.