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Concentrix Insurance Solutions

This page contains information you can use to exchange healthcare transactions with Concentrix Insurance Solutions using Stedi.
Use any of the following payer IDs to send transactions to Concentrix Insurance Solutions using Stedi APIs or SFTP. Read the docs
Primary Payer ID
19028
Stedi Payer ID
YHBRW
Payer ID aliases
19028, Z95754

Supported transactions

Use Stedi to exchange the following transactions with Concentrix Insurance Solutions 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 Concentrix Insurance Solutions.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Concentrix Insurance Solutions 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 Concentrix Insurance Solutions in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Concentrix Insurance Solutions and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Concentrix Insurance Solutions and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Concentrix Insurance Solutions to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Concentrix Insurance Solutions and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Concentrix Insurance Solutions.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Concentrix Insurance Solutions and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Concentrix Insurance Solutions 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.
  • IBM Business Toisc
  • Prudential Insurance Company of America
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