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