This page contains information you can use to exchange healthcare transactions with Senior Whole Health Massachusetts using Stedi.
Use any of the following payer IDs to send transactions to Senior Whole Health Massachusetts using Stedi APIs or SFTP. Read the docs
Primary Payer ID
SWHMA
Stedi Payer ID
JWKTJ
Payer ID aliases
14352, 6085, 9246, MOLINA_SWHMA, SWHMA
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Senior Whole Health Massachusetts 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 Senior Whole Health Massachusetts.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Senior Whole Health Massachusetts 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 Senior Whole Health Massachusetts in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Senior Whole Health Massachusetts and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Senior Whole Health Massachusetts and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Senior Whole Health Massachusetts to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
Not supported
Dental claims
(837D)
Submit dental claims to Senior Whole Health Massachusetts and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Senior Whole Health Massachusetts.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Senior Whole Health Massachusetts and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Senior Whole Health Massachusetts today.