P
Payer Directory

Progyny: payer ID and claims support

Progyny uses payer ID PROGY. Real-time eligibility isn't available for this payer today — here's what transactions it does support, and how to reach them.

Payer ID PROGY

Progyny at a glance

What billers need before running a check.

Payer ID
PROGY
Also known as 8117
Real-time eligibility
Not available
Verify coverage through the payer’s portal or phone line.
Coverage
medical
Operating area
Not published

Supported transactions

What can be exchanged electronically with Progyny today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
NOT AVAILABLE
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
NOT AVAILABLE
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Frequently asked questions

What is the payer ID for Progyny?+
Progyny uses payer ID PROGY. It also appears as 8117 in some systems.
Does Progyny support real-time eligibility verification?+
Not electronically today. Coverage for Progyny has to be confirmed through the payer's own portal or phone line. Claims, however, can be submitted electronically.

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65%
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90%
of eligibility checks fully automated
$107–149K
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24 mo
in production