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MAPFRE Life Insurance Company of Puerto Rico

This page contains information you can use to exchange healthcare transactions with MAPFRE Life Insurance Company of Puerto Rico using Stedi.
Use any of the following payer IDs to send transactions to MAPFRE Life Insurance Company of Puerto Rico using Stedi APIs or SFTP. Read the docs
Primary Payer ID
5251
Stedi Payer ID
GYDYO
Payer ID aliases
10679, 5251
Parent group
Mapfre Insurance Group

Supported transactions

Use Stedi to exchange the following transactions with MAPFRE Life Insurance Company of Puerto Rico 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 MAPFRE Life Insurance Company of Puerto Rico.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to MAPFRE Life Insurance Company of Puerto Rico 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 MAPFRE Life Insurance Company of Puerto Rico in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to MAPFRE Life Insurance Company of Puerto Rico and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to MAPFRE Life Insurance Company of Puerto Rico and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from MAPFRE Life Insurance Company of Puerto Rico to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to MAPFRE Life Insurance Company of Puerto Rico and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to MAPFRE Life Insurance Company of Puerto Rico.
Get started
Use Stedi's APIs to get fast and reliable connectivity to MAPFRE Life Insurance Company of Puerto Rico and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and MAPFRE Life Insurance Company of Puerto Rico today.
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