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Geisinger Health Plan Gold

This page contains information you can use to exchange healthcare transactions with Geisinger Health Plan Gold using Stedi.
Use any of the following payer IDs to send transactions to Geisinger Health Plan Gold using Stedi APIs or SFTP. Read the docs
Primary Payer ID
10612
Stedi Payer ID
TCFAT
Payer ID aliases
10612
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Geisinger Health Plan Gold 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 Geisinger Health Plan Gold.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Geisinger Health Plan Gold 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 Geisinger Health Plan Gold in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Geisinger Health Plan Gold and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Geisinger Health Plan Gold and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Geisinger Health Plan Gold to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Geisinger Health Plan Gold and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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