What is the Stedi payer ID for Northwell Direct?

The Stedi payer ID for Northwell Direct is RLGLC.

What is the primary payer ID for Northwell Direct?

The primary payer ID for Northwell Direct is 88987.

What payer IDs does Northwell Direct use?

In addition to its primary payer ID 88987, Northwell Direct uses several other payer IDs, including 16572 and 88987.

What transactions does Northwell Direct support?

Northwell Direct supports the following transactions: 270/271 eligibility checks, 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. Northwell Direct supports COB checks through Stedi.

All payers

PAYER

Northwell Direct

This page contains information you can use to exchange healthcare transactions with Northwell Direct using Stedi.

Use any of the following payer IDs to send transactions to Northwell Direct using Stedi APIs or SFTP. Read the docs

Primary Payer ID

88987

Stedi Payer ID

RLGLC

Payer ID aliases

16572, 88987

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Northwell Direct 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 Northwell Direct.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Northwell Direct to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Northwell Direct.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Northwell Direct today.

Payer Network

All payers

PAYER

Northwell Direct

This page contains information you can use to exchange healthcare transactions with Northwell Direct using Stedi.

Use any of the following payer IDs to send transactions to Northwell Direct using Stedi APIs or SFTP. Read the docs

Primary Payer ID

88987

Stedi Payer ID

RLGLC

Payer ID aliases

16572, 88987

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Northwell Direct 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 Northwell Direct.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Northwell Direct to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Northwell Direct and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Northwell Direct.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Northwell Direct today.