What is the Stedi payer ID for Prism Univera?

The Stedi payer ID for Prism Univera is XTZFK.

What is the primary payer ID for Prism Univera?

The primary payer ID for Prism Univera is 37315.

What payer IDs does Prism Univera use?

In addition to its primary payer ID 37315, Prism Univera uses several other payer IDs, including 37315 and 5159.

What transactions does Prism Univera support?

Prism Univera 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. Prism Univera supports COB checks through Stedi.

All payers

PAYER

Prism Univera

This page contains information you can use to exchange healthcare transactions with Prism Univera using Stedi.

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

Primary Payer ID

37315

Stedi Payer ID

XTZFK

Payer ID aliases

37315, 5159

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prism Univera 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 Prism Univera.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prism Univera to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prism Univera.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prism Univera today.

Payer Network

All payers

PAYER

Prism Univera

This page contains information you can use to exchange healthcare transactions with Prism Univera using Stedi.

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

Primary Payer ID

37315

Stedi Payer ID

XTZFK

Payer ID aliases

37315, 5159

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Prism Univera 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 Prism Univera.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Prism Univera to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Prism Univera and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Prism Univera.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Prism Univera today.