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Peach State Health Plan

MedicaidNon-ParticipatingInstant 837 Submission

Also covers / subsidiaries: Peach State, PSHP, Centene

Core Payer & Clearinghouse Profile

Electronic Payer ID

68069

68069 is the Centene/Peach State EDI payer ID for Georgia Medicaid — the SAME numeric ID used by other Centene plans. (Georgia)

Timely Filing Limit (TFL)

180 days from date of service

Appeal Window

Provider appeals must be filed within 30 days; appeals after the 30-day window are not considered

Clearinghouse Gateway

National Clearinghouse / EDI Gateway

Provider Services

877-687-1180

Claims Fax

Varies — confirm via portal / clearinghouse

Claims Address

Peach State Health Plan, P.O. Box 5010, Farmington, MO 63640-5010. Appeals: P.O. Box 3000, Farmington, MO 63640-3800.

Provider Portal

https://provider.pshpgeorgia.com

Georgia Medicaid managed-care plan, a Centene subsidiary. Notably short 30-day appeal window.

National EDI Clearinghouse Capabilities

Direct ANSI X12 electronic transaction support verified for Peach State Health Plan.

837P Professional Claims
837I Hospital Claims
837D Dental Claims
835 ERA Electronic Remittance
270/271 Real-Time Eligibility
276/277 Claim Status Inquiry
Secondary Claim Submission
Worker's Compensation EDI
Electronic Attachments (PWK)

Associated Clearinghouse Payer IDs

National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Peach State Health Plan.

Clearinghouse NameElectronic Payer IDStatusEnrollmentSupported Services
Absolute Total Care68069Non-ParNone
Advantage By Bridgeway Health Solutions68069Non-ParNone
837P837I835 ERA
Advantage By Buckeye Community Health Plan68069Non-ParNone
837P837I835 ERA
Advantage By Managed Health Services68069Non-ParNone
837P837I835 ERA
Advantage By Superior Healthplan68069Non-ParNone
837P837I835 ERA
Advantage Health Solutions68069ParNone
837P837I270/271Dental

Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.

Tired of Chasing Peach State Health Plan Denials & Delayed Payments?

Aethera's billing specialists work Peach State Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.

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