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Upper Peninsula Health Group (Third Party Administrator)

This page contains information you can use to exchange healthcare transactions with Upper Peninsula Health Group (Third Party Administrator) using Stedi.
Use any of the following payer IDs to send transactions to Upper Peninsula Health Group (Third Party Administrator) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
37324
Stedi Payer ID
JLPFG
Payer ID aliases
00446, 1792, 2686, 37324
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Upper Peninsula Health Group (Third Party Administrator) 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 Upper Peninsula Health Group (Third Party Administrator).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Upper Peninsula Health Group (Third Party Administrator) 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 Upper Peninsula Health Group (Third Party Administrator) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Upper Peninsula Health Group (Third Party Administrator) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Upper Peninsula Health Group (Third Party Administrator) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Upper Peninsula Health Group (Third Party Administrator) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Upper Peninsula Health Group (Third Party Administrator) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Upper Peninsula Health Group (Third Party Administrator).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Upper Peninsula Health Group (Third Party Administrator) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Upper Peninsula Health Group (Third Party Administrator) today.
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