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Consociate Health

Consociate Health

This page contains information you can use to exchange healthcare transactions with Consociate Health using Stedi.
Use any of the following payer IDs to send transactions to Consociate Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
37135
Stedi Payer ID
ZMHKF
Payer ID aliases
00413, 16571, 37135, 3742, 7557, CNSDN1
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Consociate Health 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 Consociate Health.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Consociate Health 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 Consociate Health in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Consociate Health and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Consociate Health and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Consociate Health to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Consociate Health and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Consociate Health.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Consociate Health and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Consociate Health 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.
  • Consociate Care Preferred Provider Organization
  • Consociate Group
  • Consociate Group (Decatur IL)
  • Consociate Group (Decatur)
  • Consociate Third Party Administrator
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