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Clover Health

Clover Health

This page contains information you can use to exchange healthcare transactions with Clover Health using Stedi.
Use any of the following payer IDs to send transactions to Clover Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
13285
Stedi Payer ID
VUHRT
Payer ID aliases
13285, 13285MA, 5666, 6433, CLOVE
Coverage types
Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with Clover Health 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 Clover Health.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Clover Health and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Clover Health and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Clover Health.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Clover Health and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Clover Health today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Clover Health LLC
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