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California Health and Wellness

This page contains information you can use to exchange healthcare transactions with California Health and Wellness using Stedi.
Use any of the following payer IDs to send transactions to California Health and Wellness using Stedi APIs or SFTP. Read the docs
Primary Payer ID
68047
Stedi Payer ID
RPYEM
Payer ID aliases
68047
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with California Health and Wellness 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 California Health and Wellness.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to California Health and Wellness 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 California Health and Wellness in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to California Health and Wellness and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to California Health and Wellness and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from California Health and Wellness to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to California Health and Wellness and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to California Health and Wellness.
Get started
Use Stedi's APIs to get fast and reliable connectivity to California Health and Wellness and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and California Health and Wellness today.
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