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Johns Hopkins Health Plans

Johns Hopkins Health Plans

This page contains information you can use to exchange healthcare transactions with Johns Hopkins Health Plans using Stedi.
Use any of the following payer IDs to send transactions to Johns Hopkins Health Plans using Stedi APIs or SFTP. Read the docs
Primary Payer ID
52189
Stedi Payer ID
NRWAE
Payer ID aliases
11132, 1592, 52189, 52189A, 5432, JHHP
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Johns Hopkins Health Plans using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Johns Hopkins Health Plans.
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Johns Hopkins Health Plans to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Johns Hopkins Health Plans in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Johns Hopkins Health Plans and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Johns Hopkins Health Plans and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Johns Hopkins Health Plans to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Johns Hopkins Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Johns Hopkins Health Plans.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Johns Hopkins Health Plans and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Johns Hopkins Health Plans today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Johns Hopkins Employee Health Plan
  • Johns Hopkins Employer Health Programs (EHP)
  • Johns Hopkins HealthCare LLC
  • Johns Hopkins Priority Partners
  • Priority Partners
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