What is the Stedi payer ID for Sutter Health?

The Stedi payer ID for Sutter Health is TLNQM.

What is the primary payer ID for Sutter Health?

The primary payer ID for Sutter Health is J1512.

What payer IDs does Sutter Health use?

In addition to its primary payer ID J1512, Sutter Health uses several other payer IDs, including J1512.

What transactions does Sutter Health support?

Sutter Health supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Sutter Health?

Sutter Health requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Sutter Health supports COB checks through Stedi.

All payers

PAYER

Sutter Health

This page contains information you can use to exchange healthcare transactions with Sutter Health using Stedi.

Use any of the following payer IDs to send transactions to Sutter Health using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1512

Stedi Payer ID

TLNQM

Payer ID aliases

J1512

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Sutter Health 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 Sutter Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Sutter Health to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sutter Health.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sutter Health and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sutter Health today.

Payer Network

All payers

PAYER

Sutter Health

This page contains information you can use to exchange healthcare transactions with Sutter Health using Stedi.

Use any of the following payer IDs to send transactions to Sutter Health using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1512

Stedi Payer ID

TLNQM

Payer ID aliases

J1512

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Sutter Health 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 Sutter Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Sutter Health to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Sutter Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Sutter Health.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Sutter Health and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Sutter Health today.