What transactions does Eastern Maine Healthcare Systems (EMHS) Employee Health Plan support?

Eastern Maine Healthcare Systems (EMHS) Employee Health Plan supports the following transactions: 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Eastern Maine Healthcare Systems (EMHS) Employee Health Plan?

Eastern Maine Healthcare Systems (EMHS) Employee Health Plan requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

All payers

PAYER

Eastern Maine Healthcare Systems (EMHS) Employee Health Plan

Q: What is the Stedi payer ID for Eastern Maine Healthcare Systems (EMHS) Employee Health Plan?

The Stedi payer ID for Eastern Maine Healthcare Systems (EMHS) Employee Health Plan is YQCTF.

Q: What is the primary payer ID for Eastern Maine Healthcare Systems (EMHS) Employee Health Plan?

The primary payer ID for Eastern Maine Healthcare Systems (EMHS) Employee Health Plan is 16565.

Q: What payer IDs does Eastern Maine Healthcare Systems (EMHS) Employee Health Plan use?

In addition to its primary payer ID 16565, Eastern Maine Healthcare Systems (EMHS) Employee Health Plan uses several other payer IDs, including 16565, 7741, and EMHSP.

This page contains information you can use to exchange healthcare transactions with Eastern Maine Healthcare Systems (EMHS) Employee Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

16565

Stedi Payer ID

YQCTF

Payer ID aliases

16565, 7741, EMHSP

Supported transactions

Use Stedi to exchange the following transactions with Eastern Maine Healthcare Systems (EMHS) Employee 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 Eastern Maine Healthcare Systems (EMHS) Employee Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Eastern Maine Healthcare Systems (EMHS) Employee 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 Eastern Maine Healthcare Systems (EMHS) Employee Health Plan in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Eastern Maine Healthcare Systems (EMHS) Employee Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Eastern Maine Healthcare Systems (EMHS) Employee Health Plan today.

Payer Network

All payers

PAYER

Eastern Maine Healthcare Systems (EMHS) Employee Health Plan

This page contains information you can use to exchange healthcare transactions with Eastern Maine Healthcare Systems (EMHS) Employee Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

16565

Stedi Payer ID

YQCTF

Payer ID aliases

16565, 7741, EMHSP

Supported transactions

Use Stedi to exchange the following transactions with Eastern Maine Healthcare Systems (EMHS) Employee 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 Eastern Maine Healthcare Systems (EMHS) Employee Health Plan.

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 Eastern Maine Healthcare Systems (EMHS) Employee Health Plan in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Eastern Maine Healthcare Systems (EMHS) Employee Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Eastern Maine Healthcare Systems (EMHS) Employee Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Eastern Maine Healthcare Systems (EMHS) Employee Health Plan today.