This page contains information you can use to exchange healthcare transactions with Mass General Brigham Health Plan using Stedi.
Use any of the following payer IDs to send transactions to Mass General Brigham Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
04293
Stedi Payer ID
OGIPR
Payer ID aliases
04293, 10377, 5457, 8588, CLSVQ, NGHBHP
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Mass General Brigham Health Plan 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 Mass General Brigham Health Plan.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Mass General Brigham Health Plan 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 Mass General Brigham Health Plan in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Mass General Brigham Health Plan and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Mass General Brigham Health Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Mass General Brigham Health Plan to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Mass General Brigham Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Mass General Brigham Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Mass General Brigham Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Mass General Brigham Health Plan today.