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CVS Accountable Care

This page contains information you can use to exchange healthcare transactions with CVS Accountable Care using Stedi.
Use any of the following payer IDs to send transactions to CVS Accountable Care using Stedi APIs or SFTP. Read the docs
Primary Payer ID
CVSACO
Stedi Payer ID
HRMRP
Payer ID aliases
3258, CVSACO

Supported transactions

Use Stedi to exchange the following transactions with CVS Accountable Care 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 CVS Accountable Care.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to CVS Accountable Care 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 CVS Accountable Care in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to CVS Accountable Care and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to CVS Accountable Care and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from CVS Accountable Care to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

(837D)
Submit dental claims to CVS Accountable Care and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to CVS Accountable Care.
Get started
Use Stedi's APIs to get fast and reliable connectivity to CVS Accountable Care and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and CVS Accountable Care today.
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