What is the Stedi payer ID for Rush Prudential HMO?

The Stedi payer ID for Rush Prudential HMO is PQXEX.

What is the primary payer ID for Rush Prudential HMO?

The primary payer ID for Rush Prudential HMO is 36389.

What payer IDs does Rush Prudential HMO use?

In addition to its primary payer ID 36389, Rush Prudential HMO uses several other payer IDs, including 36389, 4144, and 7949.

What transactions does Rush Prudential HMO support?

Rush Prudential HMO 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. Rush Prudential HMO supports COB checks through Stedi.

What other names does Rush Prudential HMO go by?

Rush Prudential HMO is also known as Rush Prudential Health Maintenance Organization.

All payers

PAYER

Rush Prudential HMO

This page contains information you can use to exchange healthcare transactions with Rush Prudential HMO using Stedi.

Use any of the following payer IDs to send transactions to Rush Prudential HMO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

36389

Stedi Payer ID

PQXEX

Payer ID aliases

36389, 4144, 7949

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Rush Prudential HMO 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 Rush Prudential HMO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Rush Prudential HMO 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 Rush Prudential HMO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Rush Prudential HMO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Rush Prudential HMO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Rush Prudential HMO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Rush Prudential HMO today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Rush Prudential Health Maintenance Organization

Payer Network

All payers

PAYER

Rush Prudential HMO

This page contains information you can use to exchange healthcare transactions with Rush Prudential HMO using Stedi.

Use any of the following payer IDs to send transactions to Rush Prudential HMO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

36389

Stedi Payer ID

PQXEX

Payer ID aliases

36389, 4144, 7949

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Rush Prudential HMO 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 Rush Prudential HMO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Rush Prudential HMO 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 Rush Prudential HMO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Rush Prudential HMO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Rush Prudential HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Rush Prudential HMO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Rush Prudential HMO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Rush Prudential HMO today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Rush Prudential Health Maintenance Organization