Pruitt Health Premier (North Carolina, South Carolina)
This page contains information you can use to exchange healthcare transactions with Pruitt Health Premier (North Carolina, South Carolina) using Stedi.
Use any of the following payer IDs to send transactions to Pruitt Health Premier (North Carolina, South Carolina) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
PHPC1
Stedi Payer ID
MQUMV
Payer ID aliases
16593, 2044, 8182, PHPC1
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Pruitt Health Premier (North Carolina, South Carolina) using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported
Eligibility checks
(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Pruitt Health Premier (North Carolina, South Carolina).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Pruitt Health Premier (North Carolina, South Carolina) 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 Pruitt Health Premier (North Carolina, South Carolina) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Pruitt Health Premier (North Carolina, South Carolina) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Pruitt Health Premier (North Carolina, South Carolina) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Pruitt Health Premier (North Carolina, South Carolina) to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported
Dental claims
(837D)
Submit dental claims to Pruitt Health Premier (North Carolina, South Carolina) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Pruitt Health Premier (North Carolina, South Carolina).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Pruitt Health Premier (North Carolina, South Carolina) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Pruitt Health Premier (North Carolina, South Carolina) today.