What is the Stedi payer ID for Santa Clara County IPA PPO?

The Stedi payer ID for Santa Clara County IPA PPO is RSWMD.

What is the primary payer ID for Santa Clara County IPA PPO?

The primary payer ID for Santa Clara County IPA PPO is SCACO.

What payer IDs does Santa Clara County IPA PPO use?

In addition to its primary payer ID SCACO, Santa Clara County IPA PPO uses several other payer IDs, including 6222 and SCACO.

What transactions does Santa Clara County IPA PPO support?

Santa Clara County IPA PPO supports the following transactions: 837P professional claims and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Santa Clara County IPA PPO?

Santa Clara County IPA PPO 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. Santa Clara County IPA PPO supports COB checks through Stedi.

All payers

PAYER

Santa Clara County IPA PPO

This page contains information you can use to exchange healthcare transactions with Santa Clara County IPA PPO using Stedi.

Use any of the following payer IDs to send transactions to Santa Clara County IPA PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SCACO

Stedi Payer ID

RSWMD

Payer ID aliases

6222, SCACO

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Santa Clara County IPA PPO 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 Santa Clara County IPA PPO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Santa Clara County IPA PPO 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 Santa Clara County IPA PPO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Santa Clara County IPA PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Santa Clara County IPA PPO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Santa Clara County IPA PPO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Santa Clara County IPA PPO today.

Payer Network

All payers

PAYER

Santa Clara County IPA PPO

This page contains information you can use to exchange healthcare transactions with Santa Clara County IPA PPO using Stedi.

Use any of the following payer IDs to send transactions to Santa Clara County IPA PPO using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SCACO

Stedi Payer ID

RSWMD

Payer ID aliases

6222, SCACO

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Santa Clara County IPA PPO 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 Santa Clara County IPA PPO.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Santa Clara County IPA PPO 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 Santa Clara County IPA PPO in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims

(837I)

Submit institutional claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Santa Clara County IPA PPO to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to Santa Clara County IPA PPO and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Santa Clara County IPA PPO.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Santa Clara County IPA PPO and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Santa Clara County IPA PPO today.