What transactions does TriState Benefit Solutions (TriHealth Physician Solutions) support?

TriState Benefit Solutions (TriHealth Physician Solutions) supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. TriState Benefit Solutions (TriHealth Physician Solutions) supports COB checks through Stedi.

All payers

PAYER

TriState Benefit Solutions (TriHealth Physician Solutions)

Q: What is the Stedi payer ID for TriState Benefit Solutions (TriHealth Physician Solutions)?

The Stedi payer ID for TriState Benefit Solutions (TriHealth Physician Solutions) is XPYCX.

Q: What is the primary payer ID for TriState Benefit Solutions (TriHealth Physician Solutions)?

The primary payer ID for TriState Benefit Solutions (TriHealth Physician Solutions) is 31144.

Q: What payer IDs does TriState Benefit Solutions (TriHealth Physician Solutions) use?

In addition to its primary payer ID 31144, TriState Benefit Solutions (TriHealth Physician Solutions) uses several other payer IDs, including 31144, 3610, and 5150.

This page contains information you can use to exchange healthcare transactions with TriState Benefit Solutions (TriHealth Physician Solutions) using Stedi.

Use any of the following payer IDs to send transactions to TriState Benefit Solutions (TriHealth Physician Solutions) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

31144

Stedi Payer ID

XPYCX

Payer ID aliases

31144, 3610, 5150

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with TriState Benefit Solutions (TriHealth Physician Solutions) 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 TriState Benefit Solutions (TriHealth Physician Solutions).

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to TriState Benefit Solutions (TriHealth Physician Solutions) 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 TriState Benefit Solutions (TriHealth Physician Solutions) in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from TriState Benefit Solutions (TriHealth Physician Solutions) to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to TriState Benefit Solutions (TriHealth Physician Solutions).

Get started

Use Stedi's APIs to get fast and reliable connectivity to TriState Benefit Solutions (TriHealth Physician Solutions) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and TriState Benefit Solutions (TriHealth Physician Solutions) today.

Payer Network

All payers

PAYER

TriState Benefit Solutions (TriHealth Physician Solutions)

This page contains information you can use to exchange healthcare transactions with TriState Benefit Solutions (TriHealth Physician Solutions) using Stedi.

Use any of the following payer IDs to send transactions to TriState Benefit Solutions (TriHealth Physician Solutions) using Stedi APIs or SFTP. Read the docs

Primary Payer ID

31144

Stedi Payer ID

XPYCX

Payer ID aliases

31144, 3610, 5150

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with TriState Benefit Solutions (TriHealth Physician Solutions) 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 TriState Benefit Solutions (TriHealth Physician Solutions).

Not supported

Coordination of benefits checks

(COB)

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to TriState Benefit Solutions (TriHealth Physician Solutions) in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from TriState Benefit Solutions (TriHealth Physician Solutions) to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to TriState Benefit Solutions (TriHealth Physician Solutions) and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to TriState Benefit Solutions (TriHealth Physician Solutions).

Get started

Use Stedi's APIs to get fast and reliable connectivity to TriState Benefit Solutions (TriHealth Physician Solutions) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and TriState Benefit Solutions (TriHealth Physician Solutions) today.