What is the Stedi payer ID for Yale University Health Plan?

The Stedi payer ID for Yale University Health Plan is QFROH.

What is the primary payer ID for Yale University Health Plan?

The primary payer ID for Yale University Health Plan is 60646.

What payer IDs does Yale University Health Plan use?

In addition to its primary payer ID 60646, Yale University Health Plan uses several other payer IDs, including 5972, 60646, and 9166.

What transactions does Yale University Health Plan support?

Yale University Health Plan supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Yale University Health Plan?

Yale University Health Plan requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Yale University Health Plan supports COB checks through Stedi.

All payers

PAYER

Yale University Health Plan

This page contains information you can use to exchange healthcare transactions with Yale University Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Yale University Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

60646

Stedi Payer ID

QFROH

Payer ID aliases

5972, 60646, 9166

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Yale University Health Plan 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 Yale University Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Yale University Health Plan 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 Yale University Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Yale University Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Yale University Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Yale University Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Yale University Health Plan today.

Payer Network

All payers

PAYER

Yale University Health Plan

This page contains information you can use to exchange healthcare transactions with Yale University Health Plan using Stedi.

Use any of the following payer IDs to send transactions to Yale University Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

60646

Stedi Payer ID

QFROH

Payer ID aliases

5972, 60646, 9166

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Yale University Health Plan 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 Yale University Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Yale University Health Plan 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 Yale University Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Yale University Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Yale University Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Yale University Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Yale University Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Yale University Health Plan today.