Use Stedi to exchange the following transactions with Mount Carmel Health Plan 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 Mount Carmel Health Plan.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Mount Carmel Health Plan 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 Mount Carmel Health Plan in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Mount Carmel Health Plan and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Mount Carmel Health Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Mount Carmel Health Plan to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Mount Carmel Health Plan and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Mount Carmel Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Mount Carmel Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Mount Carmel Health Plan today.