This page contains information you can use to exchange healthcare transactions with Jefferson Health Plans using Stedi.
Use any of the following payer IDs to send transactions to Jefferson Health Plans using Stedi APIs or SFTP. Read the docs
Primary Payer ID
RP099
Stedi Payer ID
FJVJF
Payer ID aliases
RP099
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with Jefferson Health Plans 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 Jefferson Health Plans.
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.
Claims processing
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).
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
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.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Jefferson Health Plans.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Jefferson Health Plans and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Jefferson Health Plans today.