What is the Stedi payer ID for Tuality Health Alliance?

The Stedi payer ID for Tuality Health Alliance is KXFMO.

What is the primary payer ID for Tuality Health Alliance?

The primary payer ID for Tuality Health Alliance is THA01.

What payer IDs does Tuality Health Alliance use?

In addition to its primary payer ID THA01, Tuality Health Alliance uses several other payer IDs, including THA01.

What transactions does Tuality Health Alliance support?

Tuality Health Alliance supports the following transactions: 837P professional claims and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Tuality Health Alliance?

Tuality Health Alliance requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

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

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Tuality Health Alliance supports COB checks through Stedi.

All payers

PAYER

Tuality Health Alliance

This page contains information you can use to exchange healthcare transactions with Tuality Health Alliance using Stedi.

Use any of the following payer IDs to send transactions to Tuality Health Alliance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

THA01

Stedi Payer ID

KXFMO

Payer ID aliases

THA01

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Tuality Health Alliance 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 Tuality Health Alliance.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Tuality Health Alliance 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 Tuality Health Alliance in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Tuality Health Alliance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Tuality Health Alliance.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Tuality Health Alliance and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Tuality Health Alliance today.

Payer Network

All payers

PAYER

Tuality Health Alliance

This page contains information you can use to exchange healthcare transactions with Tuality Health Alliance using Stedi.

Use any of the following payer IDs to send transactions to Tuality Health Alliance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

THA01

Stedi Payer ID

KXFMO

Payer ID aliases

THA01

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Tuality Health Alliance 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 Tuality Health Alliance.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Tuality Health Alliance 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 Tuality Health Alliance in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Tuality Health Alliance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Tuality Health Alliance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Tuality Health Alliance.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Tuality Health Alliance and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Tuality Health Alliance today.