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Esperanza IPA

This page contains information you can use to exchange healthcare transactions with Esperanza IPA using Stedi.
Use any of the following payer IDs to send transactions to Esperanza IPA using Stedi APIs or SFTP. Read the docs
Primary Payer ID
EIPA8
Stedi Payer ID
CYZJR
Payer ID aliases
EIPA8
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Esperanza IPA 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 Esperanza IPA.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Esperanza IPA to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Esperanza IPA.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Esperanza IPA and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Esperanza IPA today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Esperanza Independent Practice Association
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