Question 1

What is the Stedi payer ID for Physicians Health Plan Third Party Administrator Services?

Accepted Answer

The Stedi payer ID for Physicians Health Plan Third Party Administrator Services is JUPQM.

Question 2

What is the primary payer ID for Physicians Health Plan Third Party Administrator Services?

Accepted Answer

The primary payer ID for Physicians Health Plan Third Party Administrator Services is 30031.

Question 3

What payer IDs does Physicians Health Plan Third Party Administrator Services use?

Accepted Answer

In addition to its primary payer ID 30031, Physicians Health Plan Third Party Administrator Services uses several other payer IDs, including 00022, 1193, 2569, 30031, and COR01.

Question 4

What transactions does Physicians Health Plan Third Party Administrator Services support?

Accepted Answer

Physicians Health Plan Third Party Administrator Services supports the following transactions: 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Physicians Health Plan Third Party Administrator Services?

Accepted Answer

Physicians Health Plan Third Party Administrator Services 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. Physicians Health Plan Third Party Administrator Services supports COB checks through Stedi.

Question 8

What other names does Physicians Health Plan Third Party Administrator Services go by?

Accepted Answer

Physicians Health Plan Third Party Administrator Services is also known as PHP TPA Services, PHP Third Party Administrator Services, PHPNI, Physicians Health Plan of Northern Indiana, and Pro-Claim Plus Inc.

Question 9

What is the official website for Physicians Health Plan Third Party Administrator Services?

Accepted Answer

The official website for Physicians Health Plan Third Party Administrator Services is https://www.phpni.com.

Question 10

What U.S. states does Physicians Health Plan Third Party Administrator Services operate in?

Accepted Answer

Physicians Health Plan Third Party Administrator Services operates in Indiana.

Physicians Health Plan Third Party Administrator Services

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments