Transact with Jefferson Health Plans using Stedi’s modern, JSON-based APIs
Supported
Eligibility checks (270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Jefferson Health Plans.
Not supported
Real-time claim status (276/277)
Check on the status of a claim previously submitted to Jefferson Health Plans in real-time by sending a claim status check (276/277).
Not supported
Claim payments (835 ERA)
Receive electronic remittance advice (ERAs) from Jefferson Health Plans to review full payment details.
Not supported
Dental claims (837D)
Submit dental claims to Jefferson Health Plans and receive 277 claim acknowledgments asynchronously.
Supported
Professional claims (837P)
Submit professional claims to Jefferson Health Plans and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims (837I)
Submit institutional claims to Jefferson Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported
Coordination of benefits checks (COB)
Submit coordination of benefit checks to Jefferson Health Plans to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Not supported
Unsolicited claim attachments (275)
Receive unsolicited attachments for claims submitted to Jefferson Health Plans.
Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.