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Group Health Incorporated Health Maintenance Organization

This page contains information you can use to exchange healthcare transactions with Group Health Incorporated Health Maintenance Organization using Stedi.
Use any of the following payer IDs to send transactions to Group Health Incorporated Health Maintenance Organization using Stedi APIs or SFTP. Read the docs
Primary Payer ID
25531
Stedi Payer ID
RVMTE
Payer ID aliases
1578, 1784, 25531
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Group Health Incorporated Health Maintenance Organization 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 Group Health Incorporated Health Maintenance Organization.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Group Health Incorporated Health Maintenance Organization 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 Group Health Incorporated Health Maintenance Organization in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Group Health Incorporated Health Maintenance Organization and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Group Health Incorporated Health Maintenance Organization and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Group Health Incorporated Health Maintenance Organization to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Group Health Incorporated Health Maintenance Organization and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Group Health Incorporated Health Maintenance Organization.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Group Health Incorporated Health Maintenance Organization and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Group Health Incorporated Health Maintenance Organization today.
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