What is the Stedi payer ID for Providence Preferred PPO?

The Stedi payer ID for Providence Preferred PPO is NKQFX.

What is the primary payer ID for Providence Preferred PPO?

The primary payer ID for Providence Preferred PPO is PHP00.

What payer IDs does Providence Preferred PPO use?

In addition to its primary payer ID PHP00, Providence Preferred PPO uses several other payer IDs, including 1915, 2403, PHP00, and SX187.

What transactions does Providence Preferred PPO support?

Providence Preferred PPO supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Providence Preferred PPO supports COB checks through Stedi.

All payers

PAYER

Providence Preferred PPO

This page contains information you can use to exchange healthcare transactions with Providence Preferred PPO using Stedi.

Use any of the following payer IDs to send transactions to Providence Preferred PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

PHP00

Stedi Payer ID

NKQFX

Payer ID aliases

1915, 2403, PHP00, SX187

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Providence Preferred 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 Providence Preferred PPO.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Providence Preferred PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Providence Preferred PPO.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Providence Preferred PPO today.

Payer Network

All payers

PAYER

Providence Preferred PPO

This page contains information you can use to exchange healthcare transactions with Providence Preferred PPO using Stedi.

Use any of the following payer IDs to send transactions to Providence Preferred PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

PHP00

Stedi Payer ID

NKQFX

Payer ID aliases

1915, 2403, PHP00, SX187

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Providence Preferred 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 Providence Preferred PPO.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Providence Preferred PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Providence Preferred PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Providence Preferred PPO.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Providence Preferred PPO today.