What is the Stedi payer ID for Simpra Advantage Inc.?

The Stedi payer ID for Simpra Advantage Inc. is GUWQM.

What is the primary payer ID for Simpra Advantage Inc.?

The primary payer ID for Simpra Advantage Inc. is SIM02.

What payer IDs does Simpra Advantage Inc. use?

In addition to its primary payer ID SIM02, Simpra Advantage Inc. uses several other payer IDs, including 6093 and SIM02.

What transactions does Simpra Advantage Inc. support?

Simpra Advantage Inc. supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Simpra Advantage Inc.?

Simpra Advantage Inc. 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. Simpra Advantage Inc. supports COB checks through Stedi.

All payers

PAYER

Simpra Advantage Inc.

This page contains information you can use to exchange healthcare transactions with Simpra Advantage Inc. using Stedi.

Use any of the following payer IDs to send transactions to Simpra Advantage Inc. using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SIM02

Stedi Payer ID

GUWQM

Payer ID aliases

6093, SIM02

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Simpra Advantage Inc. 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 Simpra Advantage Inc..

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Simpra Advantage Inc. 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 Simpra Advantage Inc. in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Simpra Advantage Inc. to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Simpra Advantage Inc..

Get started

Use Stedi's APIs to get fast and reliable connectivity to Simpra Advantage Inc. and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Simpra Advantage Inc. today.

Payer Network

All payers

PAYER

Simpra Advantage Inc.

This page contains information you can use to exchange healthcare transactions with Simpra Advantage Inc. using Stedi.

Use any of the following payer IDs to send transactions to Simpra Advantage Inc. using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SIM02

Stedi Payer ID

GUWQM

Payer ID aliases

6093, SIM02

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Simpra Advantage Inc. 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 Simpra Advantage Inc..

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Simpra Advantage Inc. 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 Simpra Advantage Inc. in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Simpra Advantage Inc. to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Simpra Advantage Inc. and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Simpra Advantage Inc..

Get started

Use Stedi's APIs to get fast and reliable connectivity to Simpra Advantage Inc. and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Simpra Advantage Inc. today.