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Partnership HealthPlan of California

Partnership HealthPlan of California

This page contains information you can use to exchange healthcare transactions with Partnership HealthPlan of California using Stedi.
Use any of the following payer IDs to send transactions to Partnership HealthPlan of California using Stedi APIs or SFTP. Read the docs
Primary Payer ID
10164
Stedi Payer ID
YKJYW
Payer ID aliases
10164, 7497, PHP02, PHPOC, SX140
Coverage types
Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Partnership HealthPlan of California 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 Partnership HealthPlan of California.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Partnership HealthPlan of California 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 Partnership HealthPlan of California in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims to Partnership HealthPlan of California and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to Partnership HealthPlan of California and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Partnership HealthPlan of California to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Partnership HealthPlan of California and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Partnership HealthPlan of California.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Partnership HealthPlan of California and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Partnership HealthPlan of California 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.
  • Partnership Health Plan California
  • Partnership Health Plan of California
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