What is the Stedi payer ID for Total Plan Services?

The Stedi payer ID for Total Plan Services is YWMUB.

What is the primary payer ID for Total Plan Services?

The primary payer ID for Total Plan Services is 41202.

What payer IDs does Total Plan Services use?

In addition to its primary payer ID 41202, Total Plan Services uses several other payer IDs, including 41202 and 6199.

What transactions does Total Plan Services support?

Total Plan Services supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Total Plan Services?

Total Plan Services 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.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Total Plan Services supports COB checks through Stedi.

All payers

PAYER

Total Plan Services

This page contains information you can use to exchange healthcare transactions with Total Plan Services using Stedi.

Use any of the following payer IDs to send transactions to Total Plan Services using Stedi APIs or SFTP. Read the docs

Primary Payer ID

41202

Stedi Payer ID

YWMUB

Payer ID aliases

41202, 6199

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Total Plan Services 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 Total Plan Services.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Total Plan Services to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Total Plan Services.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Total Plan Services today.

Payer Network

All payers

PAYER

Total Plan Services

This page contains information you can use to exchange healthcare transactions with Total Plan Services using Stedi.

Use any of the following payer IDs to send transactions to Total Plan Services using Stedi APIs or SFTP. Read the docs

Primary Payer ID

41202

Stedi Payer ID

YWMUB

Payer ID aliases

41202, 6199

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Total Plan Services 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 Total Plan Services.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Total Plan Services to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Total Plan Services and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Total Plan Services.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Total Plan Services today.