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Plan de Bienestar UTM-PRSSA

This page contains information you can use to exchange healthcare transactions with Plan de Bienestar UTM-PRSSA using Stedi.
Use any of the following payer IDs to send transactions to Plan de Bienestar UTM-PRSSA using Stedi APIs or SFTP. Read the docs
Primary Payer ID
660202379
Stedi Payer ID
PJBXD
Payer ID aliases
660202379, 8736
Coverage types
Medical

Supported transactions

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
Use Stedi's APIs to get fast and reliable connectivity to Plan de Bienestar UTM-PRSSA and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Plan de Bienestar UTM-PRSSA today.
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