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Santa Clara County IPA PPO

Santa Clara County IPA PPO

This page contains information you can use to exchange healthcare transactions with Santa Clara County IPA PPO using Stedi.
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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
Stedi Payer ID
Payer ID aliases
,
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

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.
Enrollment process type
Multi-step
Activation timeframe
Weeks
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
Start processing healthcare transactions with Stedi and Santa Clara County IPA PPO today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
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