What is the Stedi payer ID for GuideOne Elite Insurance?

The Stedi payer ID for GuideOne Elite Insurance is PMTZN.

What is the primary payer ID for GuideOne Elite Insurance?

The primary payer ID for GuideOne Elite Insurance is J1590.

What payer IDs does GuideOne Elite Insurance use?

In addition to its primary payer ID J1590, GuideOne Elite Insurance uses several other payer IDs, including J1590.

What transactions does GuideOne Elite Insurance support?

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

What transaction types require transaction enrollment with GuideOne Elite Insurance?

GuideOne Elite Insurance 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. GuideOne Elite Insurance supports COB checks through Stedi.

All payers

PAYER

GuideOne Elite Insurance

This page contains information you can use to exchange healthcare transactions with GuideOne Elite Insurance using Stedi.

Use any of the following payer IDs to send transactions to GuideOne Elite Insurance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1590

Stedi Payer ID

PMTZN

Payer ID aliases

J1590

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with GuideOne Elite Insurance 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 GuideOne Elite Insurance.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from GuideOne Elite Insurance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to GuideOne Elite Insurance.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and GuideOne Elite Insurance today.

Payer Network

All payers

PAYER

GuideOne Elite Insurance

This page contains information you can use to exchange healthcare transactions with GuideOne Elite Insurance using Stedi.

Use any of the following payer IDs to send transactions to GuideOne Elite Insurance using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1590

Stedi Payer ID

PMTZN

Payer ID aliases

J1590

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with GuideOne Elite Insurance 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 GuideOne Elite Insurance.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from GuideOne Elite Insurance to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to GuideOne Elite Insurance and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to GuideOne Elite Insurance.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and GuideOne Elite Insurance today.