Use Stedi to exchange the following transactions with San Diego PACE 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 San Diego PACE.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to San Diego PACE 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 San Diego PACE in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to San Diego PACE and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to San Diego PACE and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from San Diego PACE to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Supported
Dental claims
(837D)
Submit dental claims to San Diego PACE and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to San Diego PACE.
Get started
Use Stedi's APIs to get fast and reliable connectivity to San Diego PACE and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and San Diego PACE today.