What is the Stedi payer ID for Alternative Opportunities?

The Stedi payer ID for Alternative Opportunities is KPRHN.

What is the primary payer ID for Alternative Opportunities?

The primary payer ID for Alternative Opportunities is 16089.

What payer IDs does Alternative Opportunities use?

In addition to its primary payer ID 16089, Alternative Opportunities uses several other payer IDs, including 16089.

What transactions does Alternative Opportunities support?

Alternative Opportunities 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. Alternative Opportunities supports COB checks through Stedi.

All payers

PAYER

Alternative Opportunities

This page contains information you can use to exchange healthcare transactions with Alternative Opportunities using Stedi.

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

Primary Payer ID

16089

Stedi Payer ID

KPRHN

Payer ID aliases

16089

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Alternative Opportunities 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 Alternative Opportunities.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Alternative Opportunities to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Alternative Opportunities.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Alternative Opportunities today.

Payer Network

All payers

PAYER

Alternative Opportunities

This page contains information you can use to exchange healthcare transactions with Alternative Opportunities using Stedi.

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

Primary Payer ID

16089

Stedi Payer ID

KPRHN

Payer ID aliases

16089

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Alternative Opportunities 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 Alternative Opportunities.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Alternative Opportunities to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Alternative Opportunities and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Alternative Opportunities.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Alternative Opportunities today.