What is the Stedi payer ID for Wilson-McShane?

The Stedi payer ID for Wilson-McShane is CFRVH.

What is the primary payer ID for Wilson-McShane?

The primary payer ID for Wilson-McShane is 41095.

What payer IDs does Wilson-McShane use?

In addition to its primary payer ID 41095, Wilson-McShane uses several other payer IDs, including 10797, 41095, 5839, and R7002.

What transactions does Wilson-McShane support?

Wilson-McShane supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837D dental claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Wilson-McShane?

Wilson-McShane requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Wilson-McShane supports COB checks through Stedi.

What other names does Wilson-McShane go by?

Wilson-McShane is also known as Wilson McShane.

All payers

PAYER

Wilson-McShane

This page contains information you can use to exchange healthcare transactions with Wilson-McShane using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Wilson-McShane using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

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.

Enrollment process type

Multi-step

Activation timeframe

Hours

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.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Wilson McShane

Payer Network

All payers

PAYER

Wilson-McShane

This page contains information you can use to exchange healthcare transactions with Wilson-McShane using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Wilson-McShane using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

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.

Enrollment process type

Multi-step

Activation timeframe

Hours

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.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Wilson McShane