Question 1

What is the Stedi payer ID for Humana Puerto Rico?

Accepted Answer

The Stedi payer ID for Humana Puerto Rico is GZMSV.

Question 2

What is the primary payer ID for Humana Puerto Rico?

Accepted Answer

The primary payer ID for Humana Puerto Rico is L0200.

Question 3

What payer IDs does Humana Puerto Rico use?

Accepted Answer

In addition to its primary payer ID L0200, Humana Puerto Rico uses several other payer IDs, including L0200.

Question 4

What transactions does Humana Puerto Rico support?

Accepted Answer

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

Question 5

What transaction types require transaction enrollment with Humana Puerto Rico?

Accepted Answer

Humana Puerto Rico requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

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

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

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

Question 8

What types of benefits does Humana Puerto Rico return in eligibility checks?

Accepted Answer

Eligibility checks with Humana Puerto Rico can return dental and medical benefits.

Humana Puerto Rico

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments