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NP PHP Medicare

This page contains information you can use to exchange healthcare transactions with NP PHP Medicare using Stedi.
Use any of the following payer IDs to send transactions to NP PHP Medicare using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with NP PHP Medicare 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 NP PHP Medicare.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to NP PHP Medicare 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 NP PHP Medicare in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to NP PHP Medicare and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to NP PHP Medicare and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from NP PHP Medicare to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to NP PHP Medicare and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to NP PHP Medicare.
Get started
Start processing healthcare transactions with Stedi and NP PHP Medicare today.
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