What is the Stedi payer ID for Preferred Community Choice?

The Stedi payer ID for Preferred Community Choice is JIRYJ.

What is the primary payer ID for Preferred Community Choice?

The primary payer ID for Preferred Community Choice is 73145.

What payer IDs does Preferred Community Choice use?

In addition to its primary payer ID 73145, Preferred Community Choice uses several other payer IDs, including 1791, 73145, and 8515.

What transactions does Preferred Community Choice support?

Preferred Community Choice supports the following transactions: 837P professional claims and 837I institutional claims.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Preferred Community Choice supports COB checks through Stedi.

What other names does Preferred Community Choice go by?

Preferred Community Choice is also known as CommunityCare and CommunityCare HMO, Inc..

All payers

PAYER

Preferred Community Choice

This page contains information you can use to exchange healthcare transactions with Preferred Community Choice using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Preferred Community Choice using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Preferred Community Choice 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 Preferred Community Choice.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Preferred Community Choice 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 Preferred Community Choice in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Preferred Community Choice to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Preferred Community Choice.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Preferred Community Choice and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Preferred Community Choice today.

Other names

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

CommunityCare
CommunityCare HMO, Inc.

Payer Network

All payers

PAYER

Preferred Community Choice

This page contains information you can use to exchange healthcare transactions with Preferred Community Choice using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to Preferred Community Choice using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Preferred Community Choice 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 Preferred Community Choice.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Preferred Community Choice 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 Preferred Community Choice in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Preferred Community Choice to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Preferred Community Choice and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Preferred Community Choice.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Preferred Community Choice and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Preferred Community Choice today.

Other names

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

CommunityCare
CommunityCare HMO, Inc.