Stedi
Payer Network
Contact usSign up free
All payers
PAYER

Encore Health Network - The Healthcare Group

This page contains information you can use to exchange healthcare transactions with Encore Health Network - The Healthcare Group using Stedi.
Use any of the following payer IDs to send transactions to Encore Health Network - The Healthcare Group using Stedi APIs or SFTP. Read the docs
Primary Payer ID
35206
Stedi Payer ID
QFPKW
Payer ID aliases
35206
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Encore Health Network - The Healthcare Group 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 Encore Health Network - The Healthcare Group.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Encore Health Network - The Healthcare Group 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 Encore Health Network - The Healthcare Group in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Encore Health Network - The Healthcare Group and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Encore Health Network - The Healthcare Group and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Encore Health Network - The Healthcare Group to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Encore Health Network - The Healthcare Group and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Encore Health Network - The Healthcare Group.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Encore Health Network - The Healthcare Group and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Encore Health Network - The Healthcare Group today.
Contact us
Stedi Product
  • Pricing
  • Eligibility checks
  • Claims
  • Payers
  • Transaction enrollment
  • EDI Platform
  • Switch to Stedi
Developers
  • Dev docs
  • API Reference
  • Changelog
  • Status
Resources
  • Payer Network
  • Platform Partners
  • Provider docs
  • HIPAA guides
  • EDI reference
  • EDI inspector
  • EDI network
  • EDI platform docs
Stedi
  • Blog
  • Careers
  • Customers
  • Trust Center
  • Contact
  • Privacy settings