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Benefit Plan Services

This page contains information you can use to exchange healthcare transactions with Benefit Plan Services using Stedi.
Use any of the following payer IDs to send transactions to Benefit Plan Services using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,

Supported transactions

Use Stedi to exchange the following transactions with Benefit Plan Services 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 Benefit Plan Services.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Benefit Plan Services 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 Benefit Plan Services in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Benefit Plan Services and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Benefit Plan Services and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Benefit Plan Services to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Benefit Plan Services and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Benefit Plan Services.
Get started
Start processing healthcare transactions with Stedi and Benefit Plan Services 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.
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