What is the Stedi payer ID for Elderplan?

The Stedi payer ID for Elderplan is ZTXQE.

What is the primary payer ID for Elderplan?

The primary payer ID for Elderplan is 31625.

What payer IDs does Elderplan use?

In addition to its primary payer ID 31625, Elderplan uses several other payer IDs, including 11010, 1853, 1999, 31625, and 31625MA.

What transactions does Elderplan support?

Elderplan supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

What transaction types require transaction enrollment with Elderplan?

Elderplan 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. Elderplan supports COB checks through Stedi.

What other names does Elderplan go by?

Elderplan is also known as HomeFirst and MJHS Health System.

All payers

PAYER

Elderplan

This page contains information you can use to exchange healthcare transactions with Elderplan using Stedi.

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

Primary Payer ID

31625

Stedi Payer ID

ZTXQE

Payer ID aliases

11010, 1853, 1999, 31625, 31625MA

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Elderplan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Elderplan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Elderplan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Elderplan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Elderplan.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Elderplan today.

Other names

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

HomeFirst
MJHS Health System

Payer Network

All payers

PAYER

Elderplan

This page contains information you can use to exchange healthcare transactions with Elderplan using Stedi.

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

Primary Payer ID

31625

Stedi Payer ID

ZTXQE

Payer ID aliases

11010, 1853, 1999, 31625, 31625MA

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Elderplan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to Elderplan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Elderplan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Elderplan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims to Elderplan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Elderplan.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Elderplan today.

Other names

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

HomeFirst
MJHS Health System