This page contains information you can use to exchange healthcare transactions with PCA Health Plan Florida using Stedi.
Use any of the following payer IDs to send transactions to PCA Health Plan Florida using Stedi APIs or SFTP. Read the docs
Primary Payer ID
65018
Stedi Payer ID
YHAYS
Payer ID aliases
5147, 65018
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with PCA Health Plan Florida 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 PCA Health Plan Florida.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to PCA Health Plan Florida 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 PCA Health Plan Florida in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to PCA Health Plan Florida and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to PCA Health Plan Florida and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from PCA Health Plan Florida to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to PCA Health Plan Florida and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to PCA Health Plan Florida.
Get started
Use Stedi's APIs to get fast and reliable connectivity to PCA Health Plan Florida and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and PCA Health Plan Florida today.