Smoky Mountain Local Management Entity Managed Care Organization
This page contains information you can use to exchange healthcare transactions with Smoky Mountain Local Management Entity Managed Care Organization using Stedi.
Use any of the following payer IDs to send transactions to Smoky Mountain Local Management Entity Managed Care Organization using Stedi APIs or SFTP. Read the docs
Primary Payer ID
13010
Stedi Payer ID
HEFYH
Payer ID aliases
13010, 6233
Coverage types
Dental, Medical, Vision
Supported transactions
Use Stedi to exchange the following transactions with Smoky Mountain Local Management Entity Managed Care Organization 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 Smoky Mountain Local Management Entity Managed Care Organization.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Smoky Mountain Local Management Entity Managed Care Organization 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 Smoky Mountain Local Management Entity Managed Care Organization in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Smoky Mountain Local Management Entity Managed Care Organization and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Smoky Mountain Local Management Entity Managed Care Organization and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Smoky Mountain Local Management Entity Managed Care Organization to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Smoky Mountain Local Management Entity Managed Care Organization and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Smoky Mountain Local Management Entity Managed Care Organization.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Smoky Mountain Local Management Entity Managed Care Organization and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Smoky Mountain Local Management Entity Managed Care Organization today.