This page contains information you can use to exchange healthcare transactions with Harvard Pilgrim Health Care using Stedi.
Use any of the following payer IDs to send transactions to Harvard Pilgrim Health Care using Stedi APIs or SFTP. Read the docs
Primary Payer ID
04271
Stedi Payer ID
ZKCOE
Payer ID aliases
04271, 100141, 2742, 6512, HPHC0001, HRVPGM
Parent group
Harvard Pilgrim Health Care
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with Harvard Pilgrim Health Care 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 Harvard Pilgrim Health Care.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Harvard Pilgrim Health Care 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 Harvard Pilgrim Health Care in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Harvard Pilgrim Health Care and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Harvard Pilgrim Health Care and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Harvard Pilgrim Health Care to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Harvard Pilgrim Health Care and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Harvard Pilgrim Health Care.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Harvard Pilgrim Health Care and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Harvard Pilgrim Health Care today.