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Avalon Healthcare Solutions Capital Blue Cross

Avalon Healthcare Solutions Capital Blue Cross

This page contains information you can use to exchange healthcare transactions with Avalon Healthcare Solutions Capital Blue Cross using Stedi.
Use any of the following payer IDs to send transactions to Avalon Healthcare Solutions Capital Blue Cross using Stedi APIs or SFTP. Read the docs
Primary Payer ID
AVA03
Stedi Payer ID
RNBLS
Payer ID aliases
8199, AVA03
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Avalon Healthcare Solutions Capital Blue Cross 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 Avalon Healthcare Solutions Capital Blue Cross.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Avalon Healthcare Solutions Capital Blue Cross 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 Avalon Healthcare Solutions Capital Blue Cross in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Avalon Healthcare Solutions Capital Blue Cross and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Avalon Healthcare Solutions Capital Blue Cross and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Avalon Healthcare Solutions Capital Blue Cross to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Avalon Healthcare Solutions Capital Blue Cross and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Avalon Healthcare Solutions Capital Blue Cross.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Avalon Healthcare Solutions Capital Blue Cross and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Avalon Healthcare Solutions Capital Blue Cross today.
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