Use Stedi to exchange the following transactions with WellMed (Encounters) 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 WellMed (Encounters).
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to WellMed (Encounters) 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 WellMed (Encounters) in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to WellMed (Encounters) and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to WellMed (Encounters) and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from WellMed (Encounters) to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to WellMed (Encounters) and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to WellMed (Encounters).
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Start processing healthcare transactions with Stedi and WellMed (Encounters) today.