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SCAN Health Maintenance Organization California

SCAN Health Maintenance Organization California

This page contains information you can use to exchange healthcare transactions with SCAN Health Maintenance Organization California using Stedi.
Use any of the following payer IDs to send transactions to SCAN Health Maintenance Organization California using Stedi APIs or SFTP. Read the docs
Primary Payer ID
SPSCN
Stedi Payer ID
AMKGH
Payer ID aliases
10178, 2983, 4464, 72261, 72261MA, SCAN1, SCNHMO, SPSCN
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with SCAN Health Maintenance Organization California using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to SCAN Health Maintenance Organization California.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to SCAN Health Maintenance Organization California to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to SCAN Health Maintenance Organization California in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to SCAN Health Maintenance Organization California and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to SCAN Health Maintenance Organization California and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from SCAN Health Maintenance Organization California to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to SCAN Health Maintenance Organization California and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to SCAN Health Maintenance Organization California.
Get started
Use Stedi's APIs to get fast and reliable connectivity to SCAN Health Maintenance Organization California and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and SCAN Health Maintenance Organization California today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • SCAN HMO California
  • SCAN Health Plan California
  • Village Health Plan
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