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Prominence Health Plan (Commercial)

Prominence Health Plan (Commercial)

This page contains information you can use to exchange healthcare transactions with Prominence Health Plan (Commercial) using Stedi.
Use any of the following payer IDs to send transactions to Prominence Health Plan (Commercial) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
88029
Stedi Payer ID
UHXHC
Payer ID aliases
2956, 4256, 88029, STMRH
Parent group
Providence Health Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Prominence Health Plan (Commercial) 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 Prominence Health Plan (Commercial).
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Prominence Health Plan (Commercial) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Prominence Health Plan (Commercial) in real-time by sending a claim status check (276/277).
Supported

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Prominence Health Plan (Commercial) to review full payment details.
Supported

Dental claims

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

Unsolicited claim attachments

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