What is the Stedi payer ID for Prime Healthcare?

The Stedi payer ID for Prime Healthcare is NPGVT.

What is the primary payer ID for Prime Healthcare?

The primary payer ID for Prime Healthcare is J1673.

What payer IDs does Prime Healthcare use?

In addition to its primary payer ID J1673, Prime Healthcare uses several other payer IDs, including J1673.

What transactions does Prime Healthcare support?

Prime Healthcare supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Prime Healthcare?

Prime Healthcare 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. Prime Healthcare supports COB checks through Stedi.

All payers

PAYER

Prime Healthcare

This page contains information you can use to exchange healthcare transactions with Prime Healthcare using Stedi.

Use any of the following payer IDs to send transactions to Prime Healthcare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1673

Stedi Payer ID

NPGVT

Payer ID aliases

J1673

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prime Healthcare 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 Prime Healthcare.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prime Healthcare to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prime Healthcare.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prime Healthcare today.

Payer Network

All payers

PAYER

Prime Healthcare

This page contains information you can use to exchange healthcare transactions with Prime Healthcare using Stedi.

Use any of the following payer IDs to send transactions to Prime Healthcare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1673

Stedi Payer ID

NPGVT

Payer ID aliases

J1673

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prime Healthcare 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 Prime Healthcare.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prime Healthcare to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Prime Healthcare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prime Healthcare.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prime Healthcare today.