Use Stedi to exchange the following transactions with Health Plan of San Joaquin 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 of San Joaquin.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Health Plan of San Joaquin 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 of San Joaquin in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Health Plan of San Joaquin and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Health Plan of San Joaquin and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Health Plan of San Joaquin to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Health Plan of San Joaquin and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Health Plan of San Joaquin.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Health Plan of San Joaquin and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Health Plan of San Joaquin today.