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Health Insurance Plan of Greater New York

Health Insurance Plan of Greater New York

This page contains information you can use to exchange healthcare transactions with Health Insurance Plan of Greater New York using Stedi.
Use any of the following payer IDs to send transactions to Health Insurance Plan of Greater New York using Stedi APIs or SFTP. Read the docs
Primary Payer ID
55247
Stedi Payer ID
PCKTJ
Payer ID aliases
1896, 55247, 55247MA, 8599
Parent group
EmblemHealth Group
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Health Insurance Plan of Greater New York 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 Health Insurance Plan of Greater New York.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Health Insurance Plan of Greater New York 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 Health Insurance Plan of Greater New York in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Health Insurance Plan of Greater New York and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Health Insurance Plan of Greater New York and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Health Insurance Plan of Greater New York to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Health Insurance Plan of Greater New York and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Health Insurance Plan of Greater New York.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Health Insurance Plan of Greater New York and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Health Insurance Plan of Greater New York 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.
  • EmblemHealth
  • HIP Health Insurance Plan of Greater New York
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