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ProCare Advantage

ProCare Advantage

This page contains information you can use to exchange healthcare transactions with ProCare Advantage using Stedi.
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Use any of the following payer IDs to send transactions to ProCare Advantage using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with ProCare Advantage 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 ProCare Advantage.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to ProCare Advantage and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to ProCare Advantage and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from ProCare Advantage to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to ProCare Advantage.
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Start processing healthcare transactions with Stedi and ProCare Advantage 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.
  • Cantex Continuing Care Network
  • ProCare Texas
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