Keystone First Pennsylvania Community HealthChoices
This page contains information you can use to exchange healthcare transactions with Keystone First Pennsylvania Community HealthChoices using Stedi.
Use any of the following payer IDs to send transactions to Keystone First Pennsylvania Community HealthChoices using Stedi APIs or SFTP. Read the docs
Primary Payer ID
77741
Stedi Payer ID
TGXAN
Payer ID aliases
6649, 6751, 77741, 77741MA, KSVPC, KVIPC, PCBLS
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with Keystone First Pennsylvania Community HealthChoices 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 Keystone First Pennsylvania Community HealthChoices.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Keystone First Pennsylvania Community HealthChoices to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to Keystone First Pennsylvania Community HealthChoices in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Keystone First Pennsylvania Community HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Keystone First Pennsylvania Community HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Keystone First Pennsylvania Community HealthChoices to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Keystone First Pennsylvania Community HealthChoices and receive 277 claim acknowledgments asynchronously.
Supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Keystone First Pennsylvania Community HealthChoices.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Keystone First Pennsylvania Community HealthChoices and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Keystone First Pennsylvania Community HealthChoices today.