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Upper Peninsula Health Plan

Upper Peninsula Health Plan

This page contains information you can use to exchange healthcare transactions with Upper Peninsula Health Plan using Stedi.
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Use any of the following payer IDs to send transactions to Upper Peninsula Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,
Parent group
Apollo Global Management Group
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Upper Peninsula Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Upper Peninsula Health Plan.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Upper Peninsula Health Plan and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Upper Peninsula Health Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Upper Peninsula Health Plan to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to Upper Peninsula Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Upper Peninsula Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Upper Peninsula Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Upper Peninsula Health Plan 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.
  • UPHP
  • Upper Peninsula Health Plan (Medicaid)
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