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Physician Health Plan (PHP)

This page contains information you can use to exchange healthcare transactions with Physician Health Plan (PHP) using Stedi.
Use any of the following payer IDs to send transactions to Physician Health Plan (PHP) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
37330
Stedi Payer ID
MTHRL
Payer ID aliases
2498, 37330, PHPMI
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Physician Health Plan (PHP) 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 Physician Health Plan (PHP).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Physician Health Plan (PHP) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Physician Health Plan (PHP) in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Physician Health Plan (PHP) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Physician Health Plan (PHP) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Physician Health Plan (PHP) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Physician Health Plan (PHP) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Physician Health Plan (PHP).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Physician Health Plan (PHP) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Physician Health Plan (PHP) today.
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