This page contains information you can use to exchange healthcare transactions with Healthplex using Stedi.
Use any of the following payer IDs to send transactions to Healthplex using Stedi APIs or SFTP. Read the docs
Primary Payer ID
11271
Stedi Payer ID
HOFJD
Payer ID aliases
11271
Coverage types
Dental
Supported transactions
Use Stedi to exchange the following transactions with Healthplex 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 Healthplex.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Healthplex 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 Healthplex in real-time by sending a claim status check (276/277).
Not supported
Professional claims
(837P)
Submit professional claims to Healthplex and receive 277 claim acknowledgments asynchronously.
Not supported
Institutional claims
(837I)
Submit institutional claims to Healthplex and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Healthplex to review full payment details.
Supported
Dental claims
(837D)
Submit dental claims to Healthplex and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Healthplex.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Healthplex and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Healthplex today.