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CenCal Health

CenCal Health

This page contains information you can use to exchange healthcare transactions with CenCal Health using Stedi.
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Use any of the following payer IDs to send transactions to CenCal Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,
EIN
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

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.
Enrollment process type
One-click
Activation timeframe
Weeks
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.
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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.
  • Central California Health
  • Santa Barbara Regional Health Authority
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