What is the Stedi payer ID for One Health Plan Georgia?

The Stedi payer ID for One Health Plan Georgia is NMJXS.

What is the primary payer ID for One Health Plan Georgia?

The primary payer ID for One Health Plan Georgia is 95569.

What payer IDs does One Health Plan Georgia use?

In addition to its primary payer ID 95569, One Health Plan Georgia uses several other payer IDs, including 95569.

What transactions does One Health Plan Georgia support?

One Health Plan Georgia 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. One Health Plan Georgia supports COB checks through Stedi.

All payers

PAYER

One Health Plan Georgia

This page contains information you can use to exchange healthcare transactions with One Health Plan Georgia using Stedi.

Use any of the following payer IDs to send transactions to One Health Plan Georgia using Stedi APIs or SFTP. Read the docs

Primary Payer ID

95569

Stedi Payer ID

NMJXS

Payer ID aliases

95569

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with One Health Plan Georgia 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 One Health Plan Georgia.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to One Health Plan Georgia 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 One Health Plan Georgia in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from One Health Plan Georgia to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to One Health Plan Georgia.

Get started

Use Stedi's APIs to get fast and reliable connectivity to One Health Plan Georgia and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and One Health Plan Georgia today.

Payer Network

All payers

PAYER

One Health Plan Georgia

This page contains information you can use to exchange healthcare transactions with One Health Plan Georgia using Stedi.

Use any of the following payer IDs to send transactions to One Health Plan Georgia using Stedi APIs or SFTP. Read the docs

Primary Payer ID

95569

Stedi Payer ID

NMJXS

Payer ID aliases

95569

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with One Health Plan Georgia 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 One Health Plan Georgia.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to One Health Plan Georgia 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 One Health Plan Georgia in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from One Health Plan Georgia to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to One Health Plan Georgia and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to One Health Plan Georgia.

Get started

Use Stedi's APIs to get fast and reliable connectivity to One Health Plan Georgia and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and One Health Plan Georgia today.