What is the Stedi payer ID for Topa Insurance Company?

The Stedi payer ID for Topa Insurance Company is YMJQE.

What is the primary payer ID for Topa Insurance Company?

The primary payer ID for Topa Insurance Company is J1537.

What payer IDs does Topa Insurance Company use?

In addition to its primary payer ID J1537, Topa Insurance Company uses several other payer IDs, including J1537.

What transactions does Topa Insurance Company support?

Topa Insurance Company supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with Topa Insurance Company?

Topa Insurance Company requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. Topa Insurance Company supports COB checks through Stedi.

All payers

PAYER

Topa Insurance Company

This page contains information you can use to exchange healthcare transactions with Topa Insurance Company using Stedi.

Use any of the following payer IDs to send transactions to Topa Insurance Company using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1537

Stedi Payer ID

YMJQE

Payer ID aliases

J1537

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Topa Insurance Company 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 Topa Insurance Company.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Topa Insurance Company 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 Topa Insurance Company in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Topa Insurance Company to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Topa Insurance Company.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Topa Insurance Company and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Topa Insurance Company today.

Payer Network

All payers

PAYER

Topa Insurance Company

This page contains information you can use to exchange healthcare transactions with Topa Insurance Company using Stedi.

Use any of the following payer IDs to send transactions to Topa Insurance Company using Stedi APIs or SFTP. Read the docs

Primary Payer ID

J1537

Stedi Payer ID

YMJQE

Payer ID aliases

J1537

Coverage types

Medical

Supported transactions

Use Stedi to exchange the following transactions with Topa Insurance Company 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 Topa Insurance Company.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to Topa Insurance Company 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 Topa Insurance Company in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from Topa Insurance Company to review full payment details.

Enrollment process type

One-click

Activation timeframe

Not supported

Dental claims

(837D)

Submit dental claims to Topa Insurance Company and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Topa Insurance Company.

Get started

Use Stedi's APIs to get fast and reliable connectivity to Topa Insurance Company and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and Topa Insurance Company today.