This page contains information you can use to exchange healthcare transactions with Blue Shield of California HMO Encounters using Stedi.
Use any of the following payer IDs to send transactions to Blue Shield of California HMO Encounters using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
Supported transactions
Use Stedi to exchange the following transactions with Blue Shield of California HMO Encounters 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 Blue Shield of California HMO Encounters.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Blue Shield of California HMO Encounters 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 Blue Shield of California HMO Encounters in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Blue Shield of California HMO Encounters and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Blue Shield of California HMO Encounters and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Blue Shield of California HMO Encounters to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Blue Shield of California HMO Encounters and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Blue Shield of California HMO Encounters.
Get started
Start processing healthcare transactions with Stedi and Blue Shield of California HMO Encounters today.