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American Health Plans of Pennsylvannia

This page contains information you can use to exchange healthcare transactions with American Health Plans of Pennsylvannia using Stedi.
Use any of the following payer IDs to send transactions to American Health Plans of Pennsylvannia using Stedi APIs or SFTP. Read the docs
Primary Payer ID
PA901
Stedi Payer ID
TBDYB
Payer ID aliases
PA901
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with American Health Plans of Pennsylvannia 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 American Health Plans of Pennsylvannia.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to American Health Plans of Pennsylvannia and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to American Health Plans of Pennsylvannia and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

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

Dental claims

(837D)
Submit dental claims to American Health Plans of Pennsylvannia and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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