What is the Stedi payer ID for Sharp Health Plan?

The Stedi payer ID for Sharp Health Plan is PTLKZ.

What is the primary payer ID for Sharp Health Plan?

The primary payer ID for Sharp Health Plan is 10967.

What payer IDs does Sharp Health Plan use?

In addition to its primary payer ID 10967, Sharp Health Plan uses several other payer IDs, including 10967, 7226, 8643, SHARP, SHP01, and SHP102.

What transactions does Sharp Health Plan support?

Sharp Health Plan supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

What transaction types require transaction enrollment with Sharp Health Plan?

Sharp Health Plan 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. Sharp Health Plan supports COB checks through Stedi.

All payers

PAYER

Sharp Health Plan

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

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

Primary Payer ID

10967

Stedi Payer ID

PTLKZ

Payer ID aliases

10967, 7226, 8643, SHARP, SHP01, SHP102

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Sharp 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 Sharp Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Sharp Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sharp Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sharp Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sharp Health Plan today.

Payer Network

All payers

PAYER

Sharp Health Plan

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

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

Primary Payer ID

10967

Stedi Payer ID

PTLKZ

Payer ID aliases

10967, 7226, 8643, SHARP, SHP01, SHP102

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Sharp 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 Sharp Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Sharp Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sharp Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sharp Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sharp Health Plan today.