Talk to Us
← All payersHIP / EmblemHealth Insurance Company (GHI HMO) logo

HIP / EmblemHealth Insurance Company (GHI HMO)

HIP / EmblemHealth (GHI HMO)

Primary payer ID
25531Compare transaction IDs ↓
Last successful claim statusNo successful response observedObserved across Substrate's claim-status network.
Currently not answeringEDI 270/271

Is your practice experiencing high volumes of no response claims or denials from HIP / EmblemHealth Insurance Company (GHI HMO)? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with HIP / EmblemHealth Insurance Company (GHI HMO)

Substrate can help practices and billers with the following claims tasks for HIP / EmblemHealth Insurance Company (GHI HMO).

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with HIP / EmblemHealth Insurance Company (GHI HMO).

Available

Frequently asked questions

HIP / EmblemHealth Insurance Company (GHI HMO) payer FAQs

What is the payer ID for HIP / EmblemHealth Insurance Company (GHI HMO)?

The primary payer ID for HIP / EmblemHealth Insurance Company (GHI HMO) is 25531. 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 HIP / EmblemHealth Insurance Company (GHI HMO)?

The 837P and 837I payer ID for HIP / EmblemHealth Insurance Company (GHI HMO) is 25531 via Stedi.

What is the 835 payer ID for HIP / EmblemHealth Insurance Company (GHI HMO)?

The 835 payer ID for HIP / EmblemHealth Insurance Company (GHI HMO) is 25531 via Stedi.

What is the 270 payer ID for HIP / EmblemHealth Insurance Company (GHI HMO)?

The 270 payer ID for HIP / EmblemHealth Insurance Company (GHI HMO) is 25531 via Stedi.

Resource library

Routing reference

HIP / EmblemHealth Insurance Company (GHI HMO) 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.

HIP / EmblemHealth Insurance Company (GHI HMO) payer name, operating states, and transaction-specific payer IDs
Payer nameHIP / EmblemHealth Insurance Company (GHI HMO)Source: Substrate payer directory · last refreshed
837P professional claims payer IDStedi25531Source: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStedi25531Source: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStedi25531Enrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStedi25531Source: Stedi payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Last refreshed .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: HIP / EmblemHealth Insurance Company (GHI HMO). Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Other aliases

Also known as

  • 1578
  • 1784
  • 25531
  • Group Health Incorporated Health Maintenance Organization
  • GHI HMO
  • GHI_HMO