What is the Stedi payer ID for Vaya Health?

The Stedi payer ID for Vaya Health is HEFYH.

What is the primary payer ID for Vaya Health?

The primary payer ID for Vaya Health is 13010.

What payer IDs does Vaya Health use?

In addition to its primary payer ID 13010, Vaya Health uses several other payer IDs, including 13010, 6233, and VAYAH.

What transactions does Vaya Health support?

Vaya Health 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 Vaya Health?

Vaya Health requires transaction enrollment for 837P professional 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. Vaya Health supports COB checks through Stedi.

What other names does Vaya Health go by?

Vaya Health is also known as Smoky Mountain Center and Smoky Mountain Local Management Entity Managed Care Organization.

All payers

PAYER

Vaya Health

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

Visit payer website

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

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Vaya Health 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 Vaya Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

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

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Vaya Health.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Vaya Health today.

Other names

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

Smoky Mountain Center
Smoky Mountain Local Management Entity Managed Care Organization

Payer Network

All payers

PAYER

Vaya Health

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

Visit payer website

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

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Vaya Health 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 Vaya Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported, enrollment required

Professional claims

(837P)

Submit professional claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Institutional claims

(837I)

Submit institutional claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

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

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Vaya Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Vaya Health.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Vaya Health today.

Other names

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

Smoky Mountain Center
Smoky Mountain Local Management Entity Managed Care Organization