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Northern Plains Preferred Health Plan Commercial

This page contains information you can use to exchange healthcare transactions with Northern Plains Preferred Health Plan Commercial using Stedi.
Use any of the following payer IDs to send transactions to Northern Plains Preferred Health Plan Commercial using Stedi APIs or SFTP. Read the docs
Primary Payer ID
PHMD1
Stedi Payer ID
IJMZT
Payer ID aliases
8797, PHMD1
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Northern Plains Preferred Health Plan Commercial using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Northern Plains Preferred Health Plan Commercial.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Northern Plains Preferred Health Plan Commercial 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 Northern Plains Preferred Health Plan Commercial in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Northern Plains Preferred Health Plan Commercial and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Northern Plains Preferred Health Plan Commercial and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Northern Plains Preferred Health Plan Commercial to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Northern Plains Preferred Health Plan Commercial and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Northern Plains Preferred Health Plan Commercial.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Northern Plains Preferred Health Plan Commercial and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Northern Plains Preferred Health Plan Commercial today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • NP PHP Commercial
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