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