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
Stedi Payer ID
Payer ID aliases
,
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
Start processing healthcare transactions with Stedi and Prism Univera today.