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EmblemHealth Plan

Primary payer ID
13551Compare transaction IDs ↓
Last successful claim statusWithin the past 48 hoursObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from EmblemHealth Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with EmblemHealth Plan

Substrate can help practices and billers with the following claims tasks for EmblemHealth Plan.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with EmblemHealth Plan.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with EmblemHealth Plan.

Available

Frequently asked questions

EmblemHealth Plan payer FAQs

How do I check claim status with EmblemHealth Plan?

Providers check EmblemHealth Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for EmblemHealth Plan?

The primary payer ID for EmblemHealth Plan is 13551. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for EmblemHealth Plan?

The 837P and 837I payer ID for EmblemHealth Plan is 13551 via Stedi.

What is the 835 payer ID for EmblemHealth Plan?

The 835 payer ID for EmblemHealth Plan is 13551 via Stedi.

What is the 270 payer ID for EmblemHealth Plan?

The 270 payer IDs for EmblemHealth Plan are 13551 via Stedi and 13551 and EMBLM via Availity.

What is the 276 payer ID for EmblemHealth Plan?

The 276 payer ID for EmblemHealth Plan is 13551 via Stedi.

What state does EmblemHealth Plan operate in?

EmblemHealth Plan operates in NY.

Resource library

Routing reference

EmblemHealth Plan payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

EmblemHealth Plan payer name, operating states, and transaction-specific payer IDs
Payer nameEmblemHealth Plan
Operating statesNY
837P professional claims payer IDStedi13551
837I institutional claims payer IDStedi13551
835 ERA payer IDStedi13551Enrollment required
270 eligibility payer IDStedi13551
270 eligibility payer IDAvaility13551EMBLM
276 claim status payer IDStedi13551

Other aliases

Also known as

  • 10407
  • 10616
  • 10808
  • 13551
  • 2744
  • 6509
  • EMBLEM
  • EMBLM
  • QTRDL
  • SQJIW
  • EmblemHealth - Group Health Incorporated
  • GHI - New York
  • Vytra
  • EMBLEM HEALTH - GROUP HEALTH INCORPORATED (GHI)
  • EMBLEMHLTH
  • EMBLEM HEALTH