Use any of the following payer IDs to send transactions to HIP / EmblemHealth Insurance Company (Vytra HMO) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with HIP / EmblemHealth Insurance Company (Vytra HMO) 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 HIP / EmblemHealth Insurance Company (Vytra HMO).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to HIP / EmblemHealth Insurance Company (Vytra HMO) 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 HIP / EmblemHealth Insurance Company (Vytra HMO) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to HIP / EmblemHealth Insurance Company (Vytra HMO) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to HIP / EmblemHealth Insurance Company (Vytra HMO) and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from HIP / EmblemHealth Insurance Company (Vytra HMO) to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to HIP / EmblemHealth Insurance Company (Vytra HMO) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to HIP / EmblemHealth Insurance Company (Vytra HMO).
Get started
Use Stedi's APIs to get fast and reliable connectivity to HIP / EmblemHealth Insurance Company (Vytra HMO) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and HIP / EmblemHealth Insurance Company (Vytra HMO) today.