What is the Stedi payer ID for Seton Health Plan (Children's Health Insurance Program)?

The Stedi payer ID for Seton Health Plan (Children's Health Insurance Program) is HBNHR.

What is the primary payer ID for Seton Health Plan (Children's Health Insurance Program)?

The primary payer ID for Seton Health Plan (Children's Health Insurance Program) is SHPCH.

What transactions does Seton Health Plan (Children's Health Insurance Program) support?

Seton Health Plan (Children's Health Insurance Program) supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Seton Health Plan (Children's Health Insurance Program) supports COB checks through Stedi.

All payers

PAYER

Seton Health Plan (Children's Health Insurance Program)

Q: What payer IDs does Seton Health Plan (Children's Health Insurance Program) use?

In addition to its primary payer ID SHPCH, Seton Health Plan (Children's Health Insurance Program) uses several other payer IDs, including SHPCH.

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

SHPCH

Stedi Payer ID

HBNHR

Payer ID aliases

SHPCH

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

Use Stedi's APIs to get fast and reliable connectivity to Seton Health Plan (Children's Health Insurance Program) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Seton Health Plan (Children's Health Insurance Program) today.

Payer Network

All payers

PAYER

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

SHPCH

Stedi Payer ID

HBNHR

Payer ID aliases

SHPCH

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)

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

Use Stedi's APIs to get fast and reliable connectivity to Seton Health Plan (Children's Health Insurance Program) and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Seton Health Plan (Children's Health Insurance Program) today.