Question 1

What is the Stedi payer ID for Prospect Medical Group?

Accepted Answer

The Stedi payer ID for Prospect Medical Group is JIMRG.

Question 2

What is the primary payer ID for Prospect Medical Group?

Accepted Answer

The primary payer ID for Prospect Medical Group is PROSP.

Question 3

What payer IDs does Prospect Medical Group use?

Accepted Answer

In addition to its primary payer ID PROSP, Prospect Medical Group uses several other payer IDs, including 3287, 8684, PROSP, and PROSPMA.

Question 4

What transactions does Prospect Medical Group support?

Accepted Answer

Prospect Medical Group supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

Question 5

What transaction types require transaction enrollment with Prospect Medical Group?

Accepted Answer

Prospect Medical Group requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Prospect Medical Group supports COB checks through Stedi.

Question 8

What other names does Prospect Medical Group go by?

Accepted Answer

Prospect Medical Group is also known as AMVI Medical Group, APAC (Pinnacle Health Resources), Cal Care Independent Practice Association, Clinica Medica San Miguel, Gateway Independent Practice Association (Pinnacle Health Resources), Health Excel Independent Practice Association, Los Angeles Medical Center (LAMC), Maverick Medical Group, North West Orange County Medical Group, Nuestra Family Medical Group, Pacific Healthcare Independent Practice Association, Pinnacle Health Resources, Pomona Valley Medical Group, ProCare (Prospect), Prospect Health Network, Prospect Health Services Texas, Prospect Provider Group Rhode Island, Prospect Sherman Oaks Medical Group, United Care Medical Group (UCMG) (Regal), Upland Medical Group, Vantage Medical Group, and Vantage Medical Group Encounters.

Prospect Medical Group

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments