What is the Stedi payer ID for Horizon PACE?

The Stedi payer ID for Horizon PACE is KJREF.

What is the primary payer ID for Horizon PACE?

The primary payer ID for Horizon PACE is R4569.

What payer IDs does Horizon PACE use?

In addition to its primary payer ID R4569, Horizon PACE uses several other payer IDs, including R4569.

What transactions does Horizon PACE support?

Horizon PACE 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. Horizon PACE supports COB checks through Stedi.

All payers

PAYER

Horizon PACE

This page contains information you can use to exchange healthcare transactions with Horizon PACE using Stedi.

Use any of the following payer IDs to send transactions to Horizon PACE using Stedi APIs or SFTP. Read the docs

Primary Payer ID

R4569

Stedi Payer ID

KJREF

Payer ID aliases

R4569

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Horizon PACE 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 Horizon PACE.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Horizon PACE to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Horizon PACE.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Horizon PACE today.

Payer Network

All payers

PAYER

Horizon PACE

This page contains information you can use to exchange healthcare transactions with Horizon PACE using Stedi.

Use any of the following payer IDs to send transactions to Horizon PACE using Stedi APIs or SFTP. Read the docs

Primary Payer ID

R4569

Stedi Payer ID

KJREF

Payer ID aliases

R4569

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Horizon PACE 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 Horizon PACE.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Horizon PACE to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Horizon PACE and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Horizon PACE.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Horizon PACE today.