What is the Stedi payer ID for Network Health?

The Stedi payer ID for Network Health is XDJEP.

What is the primary payer ID for Network Health?

The primary payer ID for Network Health is 04332.

What payer IDs does Network Health use?

In addition to its primary payer ID 04332, Network Health uses several other payer IDs, including 04332, 2523, and 5475.

What transactions does Network Health support?

Network Health supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Network Health?

Network Health 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. Network Health supports COB checks through Stedi.

All payers

PAYER

Network Health

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

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

Primary Payer ID

04332

Stedi Payer ID

XDJEP

Payer ID aliases

04332, 2523, 5475

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Network Health 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 Network Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Network Health.

Get started

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

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

Payer Network

All payers

PAYER

Network Health

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

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

Primary Payer ID

04332

Stedi Payer ID

XDJEP

Payer ID aliases

04332, 2523, 5475

Coverage types

Dental, Medical, Vision

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Network Health 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 Network Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

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

Supported

Institutional claims

(837I)

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

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

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

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Network Health.

Get started

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

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