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UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)

UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)

This page contains information you can use to exchange healthcare transactions with UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) using Stedi.
Use any of the following payer IDs to send transactions to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
95959
Stedi Payer ID
YEJAS
Payer ID aliases
6895, 95958, 95959
Parent group
UnitedHealth Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) 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 UnitedHealthcare West (PacifiCare Arizona Colorado Nevada).
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) 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 UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada).
Get started
Use Stedi's APIs to get fast and reliable connectivity to UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and UnitedHealthcare West (PacifiCare Arizona Colorado Nevada) 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.
  • United Healthcare West Encounters (Pacificare)
  • UnitedHealthCare West (PacifiCare Arizona Colorado Nevada)
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