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Resolve Health Plan Administrators

This page contains information you can use to exchange healthcare transactions with Resolve Health Plan Administrators using Stedi.
Use any of the following payer IDs to send transactions to Resolve Health Plan Administrators 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 Resolve Health Plan Administrators 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 Resolve Health Plan Administrators.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Resolve Health Plan Administrators.
Get started
Start processing healthcare transactions with Stedi and Resolve Health Plan Administrators today.
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