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Wilson McShane

This page contains information you can use to exchange healthcare transactions with Wilson McShane using Stedi.
Use any of the following payer IDs to send transactions to Wilson McShane using Stedi APIs or SFTP. Read the docs
Primary Payer ID
41095
Stedi Payer ID
CFRVH
Payer ID aliases
10797, 41095, 5839, R7002
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Wilson McShane 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 Wilson McShane.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Wilson McShane and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Wilson McShane and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Wilson McShane to review full payment details.
Supported

Dental claims

(837D)
Submit dental claims to Wilson McShane and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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