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Evolent Specialty - Oncology

Evolent Specialty - Oncology

This page contains information you can use to exchange healthcare transactions with Evolent Specialty - Oncology using Stedi.
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Use any of the following payer IDs to send transactions to Evolent Specialty - Oncology using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Evolent Specialty - Oncology 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 Evolent Specialty - Oncology.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Evolent Specialty - Oncology 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 Evolent Specialty - Oncology in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Evolent Specialty - Oncology and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Evolent Specialty - Oncology and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Evolent Specialty - Oncology to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Evolent Specialty - Oncology and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Evolent Specialty - Oncology.
Get started
Start processing healthcare transactions with Stedi and Evolent Specialty - Oncology today.
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