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Professional Claims Management

This page contains information you can use to exchange healthcare transactions with Professional Claims Management using Stedi.
Use any of the following payer IDs to send transactions to Professional Claims Management using Stedi APIs or SFTP. Read the docs
Primary Payer ID
J1821
Stedi Payer ID
CBKSB
Payer ID aliases
J1821
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Professional Claims Management 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 Professional Claims Management.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Professional Claims Management and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Professional Claims Management and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Professional Claims Management to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Professional Claims Management and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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