What is the Stedi payer ID for Northern Plains Providence Health Plan OHP?

The Stedi payer ID for Northern Plains Providence Health Plan OHP is YULYF.

What is the primary payer ID for Northern Plains Providence Health Plan OHP?

The primary payer ID for Northern Plains Providence Health Plan OHP is PHMD3.

What payer IDs does Northern Plains Providence Health Plan OHP use?

In addition to its primary payer ID PHMD3, Northern Plains Providence Health Plan OHP uses several other payer IDs, including 8799 and PHMD3.

What transactions does Northern Plains Providence Health Plan OHP support?

Northern Plains Providence Health Plan OHP supports the following transactions: 837P professional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Northern Plains Providence Health Plan OHP supports COB checks through Stedi.

What other names does Northern Plains Providence Health Plan OHP go by?

Northern Plains Providence Health Plan OHP is also known as HealthShare of Oregon, Northwest Physicians PHP OHP, Oregon Health Plan, Providence Health Assurance, and Providence Health Plan.

What is the official website for Northern Plains Providence Health Plan OHP?

The official website for Northern Plains Providence Health Plan OHP is https://www.providencehealthplan.com.

What U.S. states does Northern Plains Providence Health Plan OHP operate in?

Northern Plains Providence Health Plan OHP operates in Oregon.

All payers

PAYER

Northern Plains Providence Health Plan OHP

This page contains information you can use to exchange healthcare transactions with Northern Plains Providence Health Plan OHP using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Northern Plains Providence Health Plan OHP using Stedi APIs or SFTP. Read the docs

Medical

Territories

ASGUMPPRVI

Covered

Not covered

Medicaid

Supported transactions

Use Stedi to exchange the following transactions with Northern Plains Providence Health Plan OHP 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.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims and receive 277 claim acknowledgments asynchronously.

Not supported

Electronic remittance

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for submitted claims.

Not supported

Funds transfer

(EFT)

Receive claim payments directly to your bank account by electronic funds transfer instead of a mailed check.

Not supported

Electronic remittance + EFT

(835 ERA + EFT)

Enroll for 835 electronic remittance advice and electronic funds transfer together in a single request.

Get started

Start processing healthcare transactions with Stedi and Northern Plains Providence Health Plan OHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

HealthShare of Oregon
Northwest Physicians PHP OHP
Oregon Health Plan
Providence Health Assurance
Providence Health Plan

Payer Network

All payers

PAYER

Northern Plains Providence Health Plan OHP

This page contains information you can use to exchange healthcare transactions with Northern Plains Providence Health Plan OHP using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Northern Plains Providence Health Plan OHP using Stedi APIs or SFTP. Read the docs

Medical

Territories

ASGUMPPRVI

Covered

Not covered

Medicaid

Supported transactions

Use Stedi to exchange the following transactions with Northern Plains Providence Health Plan OHP 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.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims and receive 277 claim acknowledgments asynchronously.

Not supported

Electronic remittance

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for submitted claims.

Not supported

Funds transfer

(EFT)

Receive claim payments directly to your bank account by electronic funds transfer instead of a mailed check.

Not supported

Electronic remittance + EFT

(835 ERA + EFT)

Enroll for 835 electronic remittance advice and electronic funds transfer together in a single request.

Get started

Start processing healthcare transactions with Stedi and Northern Plains Providence Health Plan OHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

HealthShare of Oregon
Northwest Physicians PHP OHP
Oregon Health Plan
Providence Health Assurance
Providence Health Plan