This page contains information you can use to exchange healthcare transactions with Health Plan San Mateo using Stedi.
Use any of the following payer IDs to send transactions to Health Plan San Mateo using Stedi APIs or SFTP. Read the docs
Primary Payer ID
HPSM1
Stedi Payer ID
RXFEO
Payer ID aliases
10362, 4292, 5678, HPOSM, HPSM1, HPSM1MA, SX174
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with Health Plan San Mateo 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 Health Plan San Mateo.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Health Plan San Mateo 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 Health Plan San Mateo in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Health Plan San Mateo and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Health Plan San Mateo and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Health Plan San Mateo to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Health Plan San Mateo and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Health Plan San Mateo.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Health Plan San Mateo and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Health Plan San Mateo today.