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Metro Health Plan

This page contains information you can use to exchange healthcare transactions with Metro Health Plan using Stedi.
Use any of the following payer IDs to send transactions to Metro Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
MHP01
Stedi Payer ID
PGUDQ
Payer ID aliases
MHP01

Supported transactions

Use Stedi to exchange the following transactions with Metro 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 Metro Health Plan.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Metro 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 Metro Health Plan in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Metro Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Metro Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Metro Health Plan to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Metro Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Metro Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Metro Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Metro Health Plan today.
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