Electronic Transactions

Peach State Health Plan is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan
Peach State Health Plan and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 6075525.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

Trading Partner Payer ID
Trizetto Provider Solutions, LLC. (Gateway EDI) Medical- 77084,
Behavioral Health -68068
Availity/THIN Medical-68069
Behavioral Health - 68068
CPSI 97245
Emdeon/WebMD/Envoy Medical – 68069
Behavioral Health – 68068
McKesson/HBOC Prof – 2417
Inst – 1921
Capario/MedAvant/ProxyMed Medical – 68049
Behavioral Health – 68050
Allscripts/PayerPath Medical – 97245
Behavioral Health – CENPATICOGA
SSI Group 97245
Smarta Data 68069
IGI 68069
Physicians CC 68069
Claimsource 68069
Claim Remedi 68069
First Health Care 68069
Vitatrack 68069
GHNonline 68069
Practice Insight 68069
Relay/McKesson 68069
DeKalb 68069