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APS Healthcare Puerto Rico Inc

This page contains information you can use to exchange healthcare transactions with APS Healthcare Puerto Rico Inc using Stedi.
Use any of the following payer IDs to send transactions to APS Healthcare Puerto Rico Inc using Stedi APIs or SFTP. Read the docs
Primary Payer ID
66056
Stedi Payer ID
OKALU
Payer ID aliases
66056, 6857, 7638
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with APS Healthcare Puerto Rico Inc 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 APS Healthcare Puerto Rico Inc.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to APS Healthcare Puerto Rico Inc 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 APS Healthcare Puerto Rico Inc in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to APS Healthcare Puerto Rico Inc and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to APS Healthcare Puerto Rico Inc and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from APS Healthcare Puerto Rico Inc to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

(837D)
Submit dental claims to APS Healthcare Puerto Rico Inc and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to APS Healthcare Puerto Rico Inc.
Get started
Use Stedi's APIs to get fast and reliable connectivity to APS Healthcare Puerto Rico Inc and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and APS Healthcare Puerto Rico Inc today.
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