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Rocky Mountain Health Plans

Rocky Mountain Health Plans

This page contains information you can use to exchange healthcare transactions with Rocky Mountain Health Plans using Stedi.
Use any of the following payer IDs to send transactions to Rocky Mountain Health Plans using Stedi APIs or SFTP. Read the docs
Primary Payer ID
RKYMHP
Stedi Payer ID
PHCYF
Payer ID aliases
3556, 7470, 840614905, QNRKF, RKYMHP, RMHMO, RMHP, SX141
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Rocky Mountain Health Plans 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 Rocky Mountain Health Plans.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Rocky Mountain Health Plans 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 Rocky Mountain Health Plans in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Rocky Mountain Health Plans and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Rocky Mountain Health Plans and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Rocky Mountain Health Plans to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Rocky Mountain Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Rocky Mountain Health Plans.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Rocky Mountain Health Plans and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Rocky Mountain Health Plans today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Colorado Rocky Mountain Health Plans
  • RHMP
  • Rocky Mountain Colorado
  • Rocky Mountain HMO
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