This page contains information you can use to exchange healthcare transactions with PCA Health Plans Texas using Stedi.
Use any of the following payer IDs to send transactions to PCA Health Plans Texas using Stedi APIs or SFTP. Read the docs
Primary Payer ID
95885
Stedi Payer ID
EZYFP
Payer ID aliases
95885
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with PCA Health Plans Texas 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 PCA Health Plans Texas.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to PCA Health Plans Texas 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 PCA Health Plans Texas in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to PCA Health Plans Texas and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to PCA Health Plans Texas and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from PCA Health Plans Texas to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to PCA Health Plans Texas and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to PCA Health Plans Texas.
Get started
Use Stedi's APIs to get fast and reliable connectivity to PCA Health Plans Texas and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and PCA Health Plans Texas today.