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Group Health Cooperative of South Central Wisconsin

Group Health Cooperative of South Central Wisconsin

This page contains information you can use to exchange healthcare transactions with Group Health Cooperative of South Central Wisconsin using Stedi.
Use any of the following payer IDs to send transactions to Group Health Cooperative of South Central Wisconsin using Stedi APIs or SFTP. Read the docs
Primary Payer ID
39167
Stedi Payer ID
HPLJQ
Payer ID aliases
10006, 1876, 39167, 8990
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Group Health Cooperative of South Central Wisconsin 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 Group Health Cooperative of South Central Wisconsin.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Group Health Cooperative of South Central Wisconsin 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 Group Health Cooperative of South Central Wisconsin in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Group Health Cooperative of South Central Wisconsin and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Group Health Cooperative of South Central Wisconsin and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Group Health Cooperative of South Central Wisconsin to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

(837D)
Submit dental claims to Group Health Cooperative of South Central Wisconsin and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Group Health Cooperative of South Central Wisconsin.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Group Health Cooperative of South Central Wisconsin and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Group Health Cooperative of South Central Wisconsin today.
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