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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.


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.

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


Medical - 68069

Behavioral Health – 68068

Change Healthcare

Medical – 68069

Behavioral Health – 68068


Prof – 2417

Inst – 1921


Medical – 68049

Behavioral Health – 68050


Medical – 97245

Behavioral Health – CENPATICOGA

SSI Group97245
Smarta Data68069
Physicians CC68069
Claim Remedi68069
First Health Care 68069 
Vitatrack 68069 
GHNonline 68069 
Practice Insight 68069 
Relay/McKesson 68069 
DeKalb 68069