What is the Stedi payer ID for Provider Partners Health Plan of North Carolina?

The Stedi payer ID for Provider Partners Health Plan of North Carolina is ZLVFY.

What is the primary payer ID for Provider Partners Health Plan of North Carolina?

The primary payer ID for Provider Partners Health Plan of North Carolina is 31406.

What transactions does Provider Partners Health Plan of North Carolina support?

Provider Partners Health Plan of North Carolina supports the following transactions: 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Provider Partners Health Plan of North Carolina?

Provider Partners Health Plan of North Carolina 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 Provider Partners Health Plan of North Carolina's parent group?

Provider Partners Health Plan of North Carolina is part of Provider Partners Health Group.

All payers

PAYER

Provider Partners Health Plan of North Carolina

Q: What payer IDs does Provider Partners Health Plan of North Carolina use?

In addition to its primary payer ID 31406, Provider Partners Health Plan of North Carolina uses several other payer IDs, including 31406.

This page contains information you can use to exchange healthcare transactions with Provider Partners Health Plan of North Carolina using Stedi.

Use any of the following payer IDs to send transactions to Provider Partners Health Plan of North Carolina using Stedi APIs or SFTP. Read the docs

Primary Payer ID

31406

Stedi Payer ID

ZLVFY

Payer ID aliases

31406

Parent group

Provider Partners Health Group

Supported transactions

Use Stedi to exchange the following transactions with Provider Partners Health Plan of North Carolina 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 Provider Partners Health Plan of North Carolina.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Provider Partners Health Plan of North Carolina 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 Provider Partners Health Plan of North Carolina in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Provider Partners Health Plan of North Carolina to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Provider Partners Health Plan of North Carolina.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Provider Partners Health Plan of North Carolina and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Provider Partners Health Plan of North Carolina today.

Payer Network

All payers

PAYER

Provider Partners Health Plan of North Carolina

This page contains information you can use to exchange healthcare transactions with Provider Partners Health Plan of North Carolina using Stedi.

Use any of the following payer IDs to send transactions to Provider Partners Health Plan of North Carolina using Stedi APIs or SFTP. Read the docs

Primary Payer ID

31406

Stedi Payer ID

ZLVFY

Payer ID aliases

31406

Parent group

Provider Partners Health Group

Supported transactions

Use Stedi to exchange the following transactions with Provider Partners Health Plan of North Carolina 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 Provider Partners Health Plan of North Carolina.

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 Provider Partners Health Plan of North Carolina in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Provider Partners Health Plan of North Carolina to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Provider Partners Health Plan of North Carolina and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Provider Partners Health Plan of North Carolina.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Provider Partners Health Plan of North Carolina and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Provider Partners Health Plan of North Carolina today.