What is the Stedi payer ID for Avera Health Plans?

The Stedi payer ID for Avera Health Plans is IYMGL.

What is the primary payer ID for Avera Health Plans?

The primary payer ID for Avera Health Plans is 10869.

What payer IDs does Avera Health Plans use?

In addition to its primary payer ID 10869, Avera Health Plans uses several other payer IDs, including 10869, 1786, 46045, 7120, 8561, and AH002.

What transactions does Avera Health Plans support?

Avera Health Plans supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

What transaction types require transaction enrollment with Avera Health Plans?

Avera Health Plans requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Avera Health Plans supports COB checks through Stedi.

What other names does Avera Health Plans go by?

Avera Health Plans is also known as First Choice Health.

All payers

PAYER

Avera Health Plans

This page contains information you can use to exchange healthcare transactions with Avera Health Plans using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Avera Health Plans using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Avera Health Plans 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 Avera Health Plans.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Avera Health Plans 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 Avera Health Plans in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Avera Health Plans to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Avera Health Plans.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Avera Health Plans and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Avera Health Plans today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

First Choice Health

Payer Network

All payers

PAYER

Avera Health Plans

This page contains information you can use to exchange healthcare transactions with Avera Health Plans using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Avera Health Plans using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Avera Health Plans 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 Avera Health Plans.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Avera Health Plans 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 Avera Health Plans in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Avera Health Plans to review full payment details.

Enrollment process type

One-click

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to Avera Health Plans and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Avera Health Plans.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Avera Health Plans and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Avera Health Plans today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

First Choice Health