What is the Stedi payer ID for Presence Health Partners?

The Stedi payer ID for Presence Health Partners is RWCWB.

What is the primary payer ID for Presence Health Partners?

The primary payer ID for Presence Health Partners is 36396.

What payer IDs does Presence Health Partners use?

In addition to its primary payer ID 36396, Presence Health Partners uses several other payer IDs, including 2479, 36396, and 4923.

What transactions does Presence Health Partners support?

Presence Health Partners supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Presence Health Partners?

Presence Health Partners 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. Presence Health Partners supports COB checks through Stedi.

All payers

PAYER

Presence Health Partners

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

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

Primary Payer ID

36396

Stedi Payer ID

RWCWB

Payer ID aliases

2479, 36396, 4923

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Presence Health Partners using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Presence Health Partners.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Presence Health Partners to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Presence Health Partners.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Presence Health Partners today.

Payer Network

All payers

PAYER

Presence Health Partners

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

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

Primary Payer ID

36396

Stedi Payer ID

RWCWB

Payer ID aliases

2479, 36396, 4923

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Presence Health Partners using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Not supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Presence Health Partners.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Presence Health Partners to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Presence Health Partners and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Presence Health Partners.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Presence Health Partners today.