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Guardian

Guardian

This page contains information you can use to exchange healthcare transactions with Guardian using Stedi.
Use any of the following payer IDs to send transactions to Guardian using Stedi APIs or SFTP. Read the docs
Primary Payer ID
64246
Stedi Payer ID
EOFHN
Payer ID aliases
00159, 00410, 10788, 4517, 6409, 64246
Parent group
Guardian Life Group
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Guardian 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 Guardian.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Guardian to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Guardian.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Guardian and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Guardian 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.
  • Guardian Dental
  • Guardian Managed Dentalguard
  • Managed Dental Care
  • The Guardian Life Insurance Company of America
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