Use Stedi to exchange the following transactions with New Horizons 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 New Horizons PACE.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to New Horizons 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 New Horizons PACE in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to New Horizons PACE and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to New Horizons PACE and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from New Horizons PACE to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Supported
Dental claims
(837D)
Submit dental claims to New Horizons PACE and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to New Horizons PACE.
Get started
Start processing healthcare transactions with Stedi and New Horizons PACE today.