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PruittHealth Premier of North Carolina and South Carolina

PruittHealth Premier of North Carolina and South Carolina

This page contains information you can use to exchange healthcare transactions with PruittHealth Premier of North Carolina and South Carolina using Stedi.
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Use any of the following payer IDs to send transactions to PruittHealth Premier of North Carolina and South Carolina using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with PruittHealth Premier of North Carolina and 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 PruittHealth Premier of North Carolina and South Carolina.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to PruittHealth Premier of North Carolina and 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 PruittHealth Premier of North Carolina and South Carolina in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to PruittHealth Premier of North Carolina and South Carolina and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to PruittHealth Premier of North Carolina and South Carolina and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from PruittHealth Premier of North Carolina and South Carolina to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to PruittHealth Premier of North Carolina and South Carolina and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to PruittHealth Premier of North Carolina and South Carolina.
Get started
Use Stedi's APIs to get fast and reliable connectivity to PruittHealth Premier of North Carolina and South Carolina and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and PruittHealth Premier of North Carolina and South Carolina today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • PruittHealth Premier North Carolina and South Carolina
  • PruittHealth Premier of Carolinas (NC and SC)
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