What is the Stedi payer ID for Humana Puerto Rico?

The Stedi payer ID for Humana Puerto Rico is GZMSV.

What is the primary payer ID for Humana Puerto Rico?

The primary payer ID for Humana Puerto Rico is L0200.

What payer IDs does Humana Puerto Rico use?

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

What transactions does Humana Puerto Rico support?

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

What transaction types require transaction enrollment with Humana Puerto Rico?

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.

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. Humana Puerto Rico supports COB checks through Stedi.

All payers

PAYER

Humana Puerto Rico

This page contains information you can use to exchange healthcare transactions with Humana Puerto Rico using Stedi.

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

Primary Payer ID

L0200

Stedi Payer ID

GZMSV

Payer ID aliases

L0200

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Humana Puerto Rico 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 Humana Puerto Rico.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Humana Puerto Rico to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Humana Puerto Rico.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Humana Puerto Rico today.

Payer Network

All payers

PAYER

Humana Puerto Rico

This page contains information you can use to exchange healthcare transactions with Humana Puerto Rico using Stedi.

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

Primary Payer ID

L0200

Stedi Payer ID

GZMSV

Payer ID aliases

L0200

Coverage types

Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Humana Puerto Rico 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 Humana Puerto Rico.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Humana Puerto Rico to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Humana Puerto Rico and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Humana Puerto Rico.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Humana Puerto Rico today.