What is the Stedi payer ID for PEHP?

The Stedi payer ID for PEHP is GQZKW.

What is the primary payer ID for PEHP?

The primary payer ID for PEHP is 10574.

What payer IDs does PEHP use?

In addition to its primary payer ID 10574, PEHP uses several other payer IDs, including 10574, 11049, 11050, CX080, PEHP, SX106, and Z1012.

What transactions does PEHP support?

PEHP supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837D dental claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with PEHP?

PEHP requires transaction enrollment for 837P professional claims, 837D dental claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

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

What is a coordination of benefits (COB) check?

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

What other names does PEHP go by?

PEHP is also known as PEHP -CHIP, PEHP Health & Benefits, and Public Employees Health Plan.

All payers

PAYER

PEHP

This page contains information you can use to exchange healthcare transactions with PEHP using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to PEHP using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with 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 PEHP.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to 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 PEHP in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to PEHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to PEHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from PEHP to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Supported, enrollment required

Dental claims

(837D)

Submit dental claims to PEHP and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to PEHP.

Get started

Use Stedi's APIs to get fast and reliable connectivity to PEHP and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and PEHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

PEHP -CHIP
PEHP Health & Benefits
Public Employees Health Plan

Payer Network

All payers

PAYER

PEHP

This page contains information you can use to exchange healthcare transactions with PEHP using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to PEHP using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with 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 PEHP.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to 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 PEHP in real-time by sending a claim status check (276/277).

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to PEHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to PEHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from PEHP to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Supported, enrollment required

Dental claims

(837D)

Submit dental claims to PEHP and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to PEHP.

Get started

Use Stedi's APIs to get fast and reliable connectivity to PEHP and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and PEHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

PEHP -CHIP
PEHP Health & Benefits
Public Employees Health Plan