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Health Options of Illinois

This page contains information you can use to exchange healthcare transactions with Health Options of Illinois using Stedi.
Use any of the following payer IDs to send transactions to Health Options of Illinois using Stedi APIs or SFTP. Read the docs
Primary Payer ID
36368
Stedi Payer ID
SMJDJ
Payer ID aliases
36368
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Health Options of Illinois 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 Health Options of Illinois.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Health Options of Illinois and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Health Options of Illinois and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Health Options of Illinois to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Health Options of Illinois and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Health Options of Illinois.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Health Options of Illinois and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Health Options of Illinois today.
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