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Professional Health Care Network

This page contains information you can use to exchange healthcare transactions with Professional Health Care Network using Stedi.
Use any of the following payer IDs to send transactions to Professional Health Care Network using Stedi APIs or SFTP. Read the docs
Primary Payer ID
26748
Stedi Payer ID
VMBIW
Payer ID aliases
26748, 6062, 9217
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Professional Health Care Network 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 Professional Health Care Network.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Professional Health Care Network and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Professional Health Care Network and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Professional Health Care Network to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Professional Health Care Network and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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