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PacifiCare Dental & Vision Plan

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

Supported transactions

Use Stedi to exchange the following transactions with PacifiCare Dental & Vision Plan 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 PacifiCare Dental & Vision Plan.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to PacifiCare Dental & Vision Plan 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 PacifiCare Dental & Vision Plan in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to PacifiCare Dental & Vision Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to PacifiCare Dental & Vision Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from PacifiCare Dental & Vision Plan to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to PacifiCare Dental & Vision Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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