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Pinnacle Claims Management Inc.

This page contains information you can use to exchange healthcare transactions with Pinnacle Claims Management Inc. using Stedi.
Use any of the following payer IDs to send transactions to Pinnacle Claims Management Inc. using Stedi APIs or SFTP. Read the docs
Primary Payer ID
24735
Stedi Payer ID
JQGLA
Payer ID aliases
11237, 1735, 24735, 6587, CCIA1
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Pinnacle Claims Management Inc. 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 Pinnacle Claims Management Inc..
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Pinnacle Claims Management Inc. 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 Pinnacle Claims Management Inc. in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Pinnacle Claims Management Inc. and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Pinnacle Claims Management Inc. and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Pinnacle Claims Management Inc. to review full payment details.
Supported

Dental claims

(837D)
Submit dental claims to Pinnacle Claims Management Inc. and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Pinnacle Claims Management Inc..
Get started
Use Stedi's APIs to get fast and reliable connectivity to Pinnacle Claims Management Inc. and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Pinnacle Claims Management Inc. today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Pinnacle Claims Management Inc
  • Western Growers Assurance Trust
  • Western Growers Insurance Company
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