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Avalon Healthcare Solutions Vermont

This page contains information you can use to exchange healthcare transactions with Avalon Healthcare Solutions Vermont using Stedi.
Use any of the following payer IDs to send transactions to Avalon Healthcare Solutions Vermont using Stedi APIs or SFTP. Read the docs
Primary Payer ID
AVA04
Stedi Payer ID
BPQNJ
Payer ID aliases
8259, AVA04
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Avalon Healthcare Solutions Vermont using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Avalon Healthcare Solutions Vermont.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Avalon Healthcare Solutions Vermont 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 Avalon Healthcare Solutions Vermont in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Avalon Healthcare Solutions Vermont and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Avalon Healthcare Solutions Vermont and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Avalon Healthcare Solutions Vermont to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Avalon Healthcare Solutions Vermont and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Avalon Healthcare Solutions Vermont.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Avalon Healthcare Solutions Vermont and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Avalon Healthcare Solutions Vermont today.
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