First Medical Puerto Rico Government Health Plan (VITAL)
This page contains information you can use to exchange healthcare transactions with First Medical Puerto Rico Government Health Plan (VITAL) using Stedi.
Use any of the following payer IDs to send transactions to First Medical Puerto Rico Government Health Plan (VITAL) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
GHP660537624
Stedi Payer ID
HMWME
Payer ID aliases
66064, 7229, FIRMED, GHP660537624
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with First Medical Puerto Rico Government Health Plan (VITAL) 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 First Medical Puerto Rico Government Health Plan (VITAL).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to First Medical Puerto Rico Government Health Plan (VITAL) 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 First Medical Puerto Rico Government Health Plan (VITAL) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to First Medical Puerto Rico Government Health Plan (VITAL) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to First Medical Puerto Rico Government Health Plan (VITAL) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from First Medical Puerto Rico Government Health Plan (VITAL) to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Supported
Dental claims
(837D)
Submit dental claims to First Medical Puerto Rico Government Health Plan (VITAL) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to First Medical Puerto Rico Government Health Plan (VITAL).
Get started
Use Stedi's APIs to get fast and reliable connectivity to First Medical Puerto Rico Government Health Plan (VITAL) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and First Medical Puerto Rico Government Health Plan (VITAL) today.