Coverage profile
Work Peach State Health Plan across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
Eligibility
EDI 270/271The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Peach State Health Plan.
Portal claim status
Browser automationThe Substrate Claim Status Agent can check claim status via the payer portal for Peach State Health Plan.
Other aliases
Also known as
- 68049
2027 maternity billing research
When does Peach State Health Plan change OB/GYN billing?
CC.PP.016 describes global maternity bundling and prepayment code review. It applies to adopting health plans on their own effective dates and contains no 2027 code-deletion implementation instructions.
- Transition start
- No 2027 transition date stated in cited policy
- Billing start
- No 2027 billing date stated in cited policy
- Published
- Not stated in source
- Current As Of
- August 2026
Scope: Corporate template for medical maternity services; the exact Peach State product, state, program, adoption and effective date require verification. No dental billing application is established.
CC.PP.016 Reporting the Global Maternity Package. Verify the payer source before claim submission.
Frequently asked questions
Peach State Health Plan payer FAQs
Can I automate Peach State Health Plan portal follow-up?
Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.
What is the payer ID for Peach State Health Plan?
The primary payer ID for Peach State Health Plan is 68049. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
What is the provider portal for Peach State Health Plan?
The provider portal for Peach State Health Plan is https://apps.availity.com/. Available features depend on the payer and your account.
What is the 270 payer ID for Peach State Health Plan?
The 270 payer ID for Peach State Health Plan is 68049 via Stedi.
What state does Peach State Health Plan operate in?
Peach State Health Plan operates in GA.
Routing reference
Peach State Health 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.
| Payer name | Peach State Health PlanSource: Substrate payer directory · data last changed |
|---|---|
| Operating states | GASource: United Clearinghouse payer catalog · matched by payer name |
| 270 eligibility payer IDStedi | 68049Source: Stedi payer catalog · catalog dated · matched by payer ID |
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
- Stedi payer catalogMatched by payer ID; matched record: Peach State Health Plan. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
- United Clearinghouse payer catalogMatched by payer name; matched record: Peach State Health Plan. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.