This page contains information you can use to exchange healthcare transactions with Encompass Insurance using Stedi.
Use any of the following payer IDs to send transactions to Encompass Insurance using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
Supported transactions
Use Stedi to exchange the following transactions with Encompass Insurance 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 Encompass Insurance.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Encompass Insurance 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 Encompass Insurance in real-time by sending a claim status check (276/277).
Not supported
Professional claims
(837P)
Submit professional claims to Encompass Insurance and receive 277 claim acknowledgments asynchronously.
Not supported
Institutional claims
(837I)
Submit institutional claims to Encompass Insurance and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Encompass Insurance to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Encompass Insurance and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Encompass Insurance.
Get started
Start processing healthcare transactions with Stedi and Encompass Insurance today.