Use Stedi to exchange the following transactions with Healthcare Management Administrators (HMA) 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 Healthcare Management Administrators (HMA).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Healthcare Management Administrators (HMA) to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to Healthcare Management Administrators (HMA) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Healthcare Management Administrators (HMA) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Healthcare Management Administrators (HMA) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Healthcare Management Administrators (HMA) to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Supported
Dental claims
(837D)
Submit dental claims to Healthcare Management Administrators (HMA) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Healthcare Management Administrators (HMA).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Healthcare Management Administrators (HMA) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Healthcare Management Administrators (HMA) today.