What is the Stedi payer ID for Presbyterian Health Plan Medicaid?

The Stedi payer ID for Presbyterian Health Plan Medicaid is PQFVT.

What is the primary payer ID for Presbyterian Health Plan Medicaid?

The primary payer ID for Presbyterian Health Plan Medicaid is NMPHP.

What payer IDs does Presbyterian Health Plan Medicaid use?

In addition to its primary payer ID NMPHP, Presbyterian Health Plan Medicaid uses several other payer IDs, including NMPHP.

What transactions does Presbyterian Health Plan Medicaid support?

Presbyterian Health Plan Medicaid supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Presbyterian Health Plan Medicaid supports COB checks through Stedi.

What is the official website for Presbyterian Health Plan Medicaid?

The official website for Presbyterian Health Plan Medicaid is https://www.phs.org.

All payers

PAYER

Presbyterian Health Plan Medicaid

This page contains information you can use to exchange healthcare transactions with Presbyterian Health Plan Medicaid using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Presbyterian Health Plan Medicaid using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Presbyterian Health Plan Medicaid 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 Presbyterian Health Plan Medicaid.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Presbyterian Health Plan Medicaid 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 Presbyterian Health Plan Medicaid in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Presbyterian Health Plan Medicaid to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Presbyterian Health Plan Medicaid.

Get started

Start processing healthcare transactions with Stedi and Presbyterian Health Plan Medicaid today.

Payer Network

All payers

PAYER

Presbyterian Health Plan Medicaid

This page contains information you can use to exchange healthcare transactions with Presbyterian Health Plan Medicaid using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Presbyterian Health Plan Medicaid using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Presbyterian Health Plan Medicaid 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 Presbyterian Health Plan Medicaid.

Not supported

Coordination of benefits checks

(COB)

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Presbyterian Health Plan Medicaid in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Presbyterian Health Plan Medicaid to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Presbyterian Health Plan Medicaid and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Presbyterian Health Plan Medicaid.

Get started

Start processing healthcare transactions with Stedi and Presbyterian Health Plan Medicaid today.