Community Behavioral Health Network of Pennsylvania HealthChoices
This page contains information you can use to exchange healthcare transactions with Community Behavioral Health Network of Pennsylvania HealthChoices using Stedi.
Use any of the following payer IDs to send transactions to Community Behavioral Health Network of Pennsylvania HealthChoices using Stedi APIs or SFTP. Read the docs
Primary Payer ID
65391
Stedi Payer ID
IJQLB
Payer ID aliases
4657, 6183, 65391, PFMCR, PRFCR
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Community Behavioral Health Network of Pennsylvania HealthChoices 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 Community Behavioral Health Network of Pennsylvania HealthChoices.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Community Behavioral Health Network of Pennsylvania HealthChoices to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to Community Behavioral Health Network of Pennsylvania HealthChoices in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Community Behavioral Health Network of Pennsylvania HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Community Behavioral Health Network of Pennsylvania HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Community Behavioral Health Network of Pennsylvania HealthChoices to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Community Behavioral Health Network of Pennsylvania HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Community Behavioral Health Network of Pennsylvania HealthChoices.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Community Behavioral Health Network of Pennsylvania HealthChoices and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Community Behavioral Health Network of Pennsylvania HealthChoices today.