What is the Stedi payer ID for Hometown Health Plan MA HMO?

The Stedi payer ID for Hometown Health Plan MA HMO is ZFDYF.

What is the primary payer ID for Hometown Health Plan MA HMO?

The primary payer ID for Hometown Health Plan MA HMO is 58379.

What payer IDs does Hometown Health Plan MA HMO use?

In addition to its primary payer ID 58379, Hometown Health Plan MA HMO uses several other payer IDs, including 00094, 58379, and 8155.

What transactions does Hometown Health Plan MA HMO support?

Hometown Health Plan MA HMO supports the following transactions: 837P professional claims, 837D dental claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Hometown Health Plan MA HMO?

Hometown Health Plan MA HMO 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. Hometown Health Plan MA HMO supports COB checks through Stedi.

What other names does Hometown Health Plan MA HMO go by?

Hometown Health Plan MA HMO is also known as Meritain and P3 Health Partners Nevada.

All payers

PAYER

Hometown Health Plan MA HMO

This page contains information you can use to exchange healthcare transactions with Hometown Health Plan MA HMO using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Hometown Health Plan MA HMO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Hometown Health Plan MA HMO to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Hometown Health Plan MA HMO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Hometown Health Plan MA HMO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Hometown Health Plan MA HMO today.

Other names

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

Meritain
P3 Health Partners Nevada

Payer Network

All payers

PAYER

Hometown Health Plan MA HMO

This page contains information you can use to exchange healthcare transactions with Hometown Health Plan MA HMO using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Hometown Health Plan MA HMO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Hometown Health Plan MA HMO 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 Hometown Health Plan MA HMO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Hometown Health Plan MA HMO to review full payment details.

Enrollment process type

One-click

Activation timeframe

Days

Supported

Dental claims

(837D)

Submit dental claims to Hometown Health Plan MA HMO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Hometown Health Plan MA HMO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Hometown Health Plan MA HMO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Hometown Health Plan MA HMO today.

Other names

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

Meritain
P3 Health Partners Nevada