Use Stedi to exchange the following transactions with Partners Health Plan 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 Partners Health Plan.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Partners Health Plan 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 Partners Health Plan in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Partners Health Plan and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Partners Health Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Partners Health Plan to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
ERA aggregation preferences
NPI, TIN
Requested effective date
Not supported
Not supported
Dental claims
(837D)
Submit dental claims to Partners Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Partners Health Plan.
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Start processing healthcare transactions with Stedi and Partners Health Plan today.