Use Stedi to exchange the following transactions with CenCal 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 CenCal Health.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to CenCal Health to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to CenCal Health in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to CenCal Health and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to CenCal Health and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from CenCal Health to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to CenCal Health and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to CenCal Health.
Get started
Use Stedi's APIs to get fast and reliable connectivity to CenCal Health and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and CenCal Health today.