What is the Stedi payer ID for Medicare Blue HMO PPO?

The Stedi payer ID for Medicare Blue HMO PPO is NANSH.

What is the primary payer ID for Medicare Blue HMO PPO?

The primary payer ID for Medicare Blue HMO PPO is 56152.

What payer IDs does Medicare Blue HMO PPO use?

In addition to its primary payer ID 56152, Medicare Blue HMO PPO uses several other payer IDs, including 56152.

What transactions does Medicare Blue HMO PPO support?

Medicare Blue HMO PPO supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Medicare Blue HMO PPO?

Medicare Blue HMO PPO 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. Medicare Blue HMO PPO supports COB checks through Stedi.

All payers

PAYER

Medicare Blue HMO PPO

This page contains information you can use to exchange healthcare transactions with Medicare Blue HMO PPO using Stedi.

Use any of the following payer IDs to send transactions to Medicare Blue HMO PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

56152

Stedi Payer ID

NANSH

Payer ID aliases

56152

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Blue HMO PPO 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 Medicare Blue HMO PPO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare Blue HMO PPO 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 Medicare Blue HMO PPO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Blue HMO PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Blue HMO PPO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare Blue HMO PPO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare Blue HMO PPO today.

Payer Network

All payers

PAYER

Medicare Blue HMO PPO

This page contains information you can use to exchange healthcare transactions with Medicare Blue HMO PPO using Stedi.

Use any of the following payer IDs to send transactions to Medicare Blue HMO PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

56152

Stedi Payer ID

NANSH

Payer ID aliases

56152

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Blue HMO PPO 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 Medicare Blue HMO PPO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Medicare Blue HMO PPO 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 Medicare Blue HMO PPO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Blue HMO PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Blue HMO PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Blue HMO PPO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Medicare Blue HMO PPO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Medicare Blue HMO PPO today.