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Avalon Healthcare Solutions (South Carolina)

Avalon Healthcare Solutions (South Carolina)

This page contains information you can use to exchange healthcare transactions with Avalon Healthcare Solutions (South Carolina) using Stedi.
Visit payer website
Use any of the following payer IDs to send transactions to Avalon Healthcare Solutions (South Carolina) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Avalon Healthcare Solutions (South Carolina) 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 Avalon Healthcare Solutions (South Carolina).
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Avalon Healthcare Solutions (South Carolina) and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Avalon Healthcare Solutions (South Carolina) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Avalon Healthcare Solutions (South Carolina) to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Avalon Healthcare Solutions (South Carolina) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Avalon Healthcare Solutions (South Carolina).
Get started
Start processing healthcare transactions with Stedi and Avalon Healthcare Solutions (South Carolina) today.
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