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.
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).
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.
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.
|Trading Partner||Payer ID|
|Trizetto Provider Solutions, LLC. (Gateway EDI)||Medical- 77084,
Behavioral Health -68068
Behavioral Health - 68068
|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
|First Health Care||68069|