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Prominence Administrative Services

Prominence Administrative Services

This page contains information you can use to exchange healthcare transactions with Prominence Administrative Services using Stedi.
Use any of the following payer IDs to send transactions to Prominence Administrative Services using Stedi APIs or SFTP. Read the docs
Primary Payer ID
88022
Stedi Payer ID
RTOYP
Payer ID aliases
10667, 2979, 4253, 88022, CDSGH
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Prominence Administrative Services 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 Prominence Administrative Services.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Prominence Administrative Services 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 Prominence Administrative Services in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Prominence Administrative Services and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Prominence Administrative Services and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Prominence Administrative Services to review full payment details.
Supported

Dental claims

(837D)
Submit dental claims to Prominence Administrative Services and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Prominence Administrative Services.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Prominence Administrative Services and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Prominence Administrative Services 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.
  • CDS Group Health
  • Prominence Health Plan (Self-funded)
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