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Healthy Blue Missouri

Healthy Blue Missouri

This page contains information you can use to exchange healthcare transactions with Healthy Blue Missouri using Stedi.
Use any of the following payer IDs to send transactions to Healthy Blue Missouri using Stedi APIs or SFTP. Read the docs
Primary Payer ID
541
Stedi Payer ID
QJYHZ
Payer ID aliases
00541, 10702, 5019, 541, 8867, HBLUMO, MOSCA
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Healthy Blue Missouri 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 Healthy Blue Missouri.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Healthy Blue Missouri 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 Healthy Blue Missouri in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Healthy Blue Missouri and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Healthy Blue Missouri and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Healthy Blue Missouri to review full payment details.
Enrollment process type
One-click
Activation timeframe
Instant
Not supported

Dental claims

(837D)
Submit dental claims to Healthy Blue Missouri and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Healthy Blue Missouri.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Healthy Blue Missouri and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Healthy Blue Missouri today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
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