What is the Stedi payer ID for Georgia Health Advantage?

The Stedi payer ID for Georgia Health Advantage is SWSNF.

What is the primary payer ID for Georgia Health Advantage?

The primary payer ID for Georgia Health Advantage is A2327.

What payer IDs does Georgia Health Advantage use?

In addition to its primary payer ID A2327, Georgia Health Advantage uses several other payer IDs, including 31140, 31140MA, 5032, 8879, and A2327.

What transactions does Georgia Health Advantage support?

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

What transaction types require transaction enrollment with Georgia Health Advantage?

Georgia Health Advantage 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. Georgia Health Advantage supports COB checks through Stedi.

What other names does Georgia Health Advantage go by?

Georgia Health Advantage is also known as Georgia Health Advantage Effective January 1, 2020.

All payers

PAYER

Georgia Health Advantage

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

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

Primary Payer ID

A2327

Stedi Payer ID

SWSNF

Payer ID aliases

31140, 31140MA, 5032, 8879, A2327

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Georgia Health Advantage 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 Georgia Health Advantage.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Georgia Health Advantage to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Georgia Health Advantage.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Georgia Health Advantage today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Georgia Health Advantage Effective January 1, 2020

Payer Network

All payers

PAYER

Georgia Health Advantage

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

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

Primary Payer ID

A2327

Stedi Payer ID

SWSNF

Payer ID aliases

31140, 31140MA, 5032, 8879, A2327

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Georgia Health Advantage 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 Georgia Health Advantage.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Georgia Health Advantage to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Georgia Health Advantage and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Georgia Health Advantage.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Georgia Health Advantage today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Georgia Health Advantage Effective January 1, 2020