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Capital Blue Cross of Pennsylvania

Capital Blue Cross of Pennsylvania

This page contains information you can use to exchange healthcare transactions with Capital Blue Cross of Pennsylvania using Stedi.
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Use any of the following payer IDs to send transactions to Capital Blue Cross of Pennsylvania using Stedi APIs or SFTP. Read the docs
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Capital Blue Cross
Dental, Medical, Vision
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Capital Blue Cross of Pennsylvania 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.
Enrollment process type
Multi-step
Activation timeframe
Days
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks 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 previously submitted claim in real-time by sending a claim status check (276/277).
Enrollment process type
Multi-step
Activation timeframe
Days
Supported,

Professional claims

(837P)
Submit professional claims and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Days
Supported,

Institutional claims

(837I)
Submit institutional claims and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Days
Supported,

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Days
NPI, TIN
Not supported

Dental claims

(837D)
Submit dental claims and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for submitted claims.
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Start processing healthcare transactions with Stedi and Capital Blue Cross of Pennsylvania 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.
  • Capital Blue Cross Pennsylvania
  • Capital Blue Cross of Pennsylvania - Medicare Advantage
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