Physicians Health Plan Third Party Administrator Services
This page contains information you can use to exchange healthcare transactions with Physicians Health Plan Third Party Administrator Services using Stedi.
Use any of the following payer IDs to send transactions to Physicians Health Plan Third Party Administrator Services using Stedi APIs or SFTP. Read the docs
Primary Payer ID
30031
Stedi Payer ID
JUPQM
Payer ID aliases
00022, 1193, 2569, 30031
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Physicians Health Plan Third Party Administrator Services 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 Physicians Health Plan Third Party Administrator Services.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Physicians Health Plan Third Party Administrator Services 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 Physicians Health Plan Third Party Administrator Services in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Physicians Health Plan Third Party Administrator Services and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Physicians Health Plan Third Party Administrator Services and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Physicians Health Plan Third Party Administrator Services to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported
Dental claims
(837D)
Submit dental claims to Physicians Health Plan Third Party Administrator Services and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Physicians Health Plan Third Party Administrator Services.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Physicians Health Plan Third Party Administrator Services and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Physicians Health Plan Third Party Administrator Services today.