What is the Stedi payer ID for Medicare Advantage Pennsylvania?

The Stedi payer ID for Medicare Advantage Pennsylvania is OAFDL.

What is the primary payer ID for Medicare Advantage Pennsylvania?

The primary payer ID for Medicare Advantage Pennsylvania is 11000.

What payer IDs does Medicare Advantage Pennsylvania use?

In addition to its primary payer ID 11000, Medicare Advantage Pennsylvania uses several other payer IDs, including 11000, BCHSC, and Z96299.

What transactions does Medicare Advantage Pennsylvania support?

Medicare Advantage Pennsylvania supports the following transactions: 270/271 eligibility checks and 276/277 real-time claim status.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Medicare Advantage Pennsylvania supports COB checks through Stedi.

All payers

PAYER

Medicare Advantage Pennsylvania

This page contains information you can use to exchange healthcare transactions with Medicare Advantage Pennsylvania using Stedi.

Use any of the following payer IDs to send transactions to Medicare Advantage Pennsylvania using Stedi APIs or SFTP. Read the docs

Primary Payer ID

11000

Stedi Payer ID

OAFDL

Payer ID aliases

11000, BCHSC, Z96299

Supported transactions

Use Stedi to exchange the following transactions with Medicare Advantage 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 to Medicare Advantage Pennsylvania.

Not supported

Coordination of benefits checks

(COB)

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

Not supported

Professional claims

(837P)

Submit professional claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Advantage Pennsylvania to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Advantage Pennsylvania.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Medicare Advantage Pennsylvania today.

Payer Network

All payers

PAYER

Medicare Advantage Pennsylvania

This page contains information you can use to exchange healthcare transactions with Medicare Advantage Pennsylvania using Stedi.

Use any of the following payer IDs to send transactions to Medicare Advantage Pennsylvania using Stedi APIs or SFTP. Read the docs

Primary Payer ID

11000

Stedi Payer ID

OAFDL

Payer ID aliases

11000, BCHSC, Z96299

Supported transactions

Use Stedi to exchange the following transactions with Medicare Advantage 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 to Medicare Advantage Pennsylvania.

Not supported

Coordination of benefits checks

(COB)

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to Medicare Advantage Pennsylvania in real-time by sending a claim status check (276/277).

Not supported

Professional claims

(837P)

Submit professional claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Medicare Advantage Pennsylvania to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Medicare Advantage Pennsylvania and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Medicare Advantage Pennsylvania.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Medicare Advantage Pennsylvania today.