Seton Health Plan (Children's Health Insurance Program)
This page contains information you can use to exchange healthcare transactions with Seton Health Plan (Children's Health Insurance Program) using Stedi.
Use any of the following payer IDs to send transactions to Seton Health Plan (Children's Health Insurance Program) 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 Seton Health Plan (Children's Health Insurance Program) 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 Seton Health Plan (Children's Health Insurance Program).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Seton Health Plan (Children's Health Insurance Program) 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 Seton Health Plan (Children's Health Insurance Program) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Seton Health Plan (Children's Health Insurance Program) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Seton Health Plan (Children's Health Insurance Program) and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Seton Health Plan (Children's Health Insurance Program) to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Seton Health Plan (Children's Health Insurance Program) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Seton Health Plan (Children's Health Insurance Program).
Get started
Start processing healthcare transactions with Stedi and Seton Health Plan (Children's Health Insurance Program) today.