This page contains information you can use to exchange healthcare transactions with Public Employees Health Plan (PEHP) using Stedi.
Use any of the following payer IDs to send transactions to Public Employees Health Plan (PEHP) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
10574
Stedi Payer ID
GQZKW
Payer ID aliases
10574, 11049, 11050, CX080, PEHP, SX106, Z1012
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with Public Employees Health Plan (PEHP) 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 Public Employees Health Plan (PEHP).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Public Employees Health Plan (PEHP) 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 Public Employees Health Plan (PEHP) in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Public Employees Health Plan (PEHP) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Public Employees Health Plan (PEHP) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Public Employees Health Plan (PEHP) to review full payment details.
Supported, enrollment required
Dental claims
(837D)
Submit dental claims to Public Employees Health Plan (PEHP) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Public Employees Health Plan (PEHP).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Public Employees Health Plan (PEHP) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Public Employees Health Plan (PEHP) today.