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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.
Use any of the following payer IDs to send transactions to Capital Blue Cross of Pennsylvania using Stedi APIs or SFTP. Read the docs
Primary Payer ID
100952
Stedi Payer ID
KUHOB
Payer ID aliases
00361, 100952, 10325, 12B61, 23045, 23045MA, 24705, 7705, CBC01, PACAPB
Parent group
Capital Blue Cross
Coverage types
Dental, Medical

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, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Capital Blue Cross of Pennsylvania.
Supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Capital Blue Cross of Pennsylvania 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 Capital Blue Cross of Pennsylvania in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to Capital Blue Cross of Pennsylvania and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to Capital Blue Cross of Pennsylvania and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Capital Blue Cross of Pennsylvania to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Capital Blue Cross of Pennsylvania and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Capital Blue Cross of Pennsylvania.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Capital Blue Cross of Pennsylvania and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks 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
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