What is the Stedi payer ID for Sutter Health Plan?

The Stedi payer ID for Sutter Health Plan is ETOIY.

What is the primary payer ID for Sutter Health Plan?

The primary payer ID for Sutter Health Plan is 13287.

What payer IDs does Sutter Health Plan use?

In addition to its primary payer ID 13287, Sutter Health Plan uses several other payer IDs, including 13287 and S4700.

What transactions does Sutter Health Plan support?

Sutter Health Plan supports the following transactions: 270/271 eligibility checks and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Sutter Health Plan?

Sutter Health Plan 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. Sutter Health Plan supports COB checks through Stedi.

What other names does Sutter Health Plan go by?

Sutter Health Plan is also known as Sutter Health Plus.

All payers

PAYER

Sutter Health Plan

This page contains information you can use to exchange healthcare transactions with Sutter Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Sutter Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

13287

Stedi Payer ID

ETOIY

Payer ID aliases

13287, S4700

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Sutter Health Plan 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 Sutter Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Sutter Health Plan 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 Sutter Health Plan in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Sutter Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sutter Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sutter Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sutter Health Plan today.

Other names

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

Sutter Health Plus

Payer Network

All payers

PAYER

Sutter Health Plan

This page contains information you can use to exchange healthcare transactions with Sutter Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Sutter Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

13287

Stedi Payer ID

ETOIY

Payer ID aliases

13287, S4700

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Sutter Health Plan 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 Sutter Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Sutter Health Plan 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 Sutter Health Plan in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Sutter Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Sutter Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sutter Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sutter Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sutter Health Plan today.

Other names

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

Sutter Health Plus