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Optimed Health

This page contains information you can use to exchange healthcare transactions with Optimed Health using Stedi.
Use any of the following payer IDs to send transactions to Optimed Health using Stedi APIs or SFTP. Read the docs
Primary Payer ID
96277
Stedi Payer ID
ZPWSK
Payer ID aliases
96277
Coverage types
Medical

Supported transactions

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

Coordination of benefits checks

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

Professional claims

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

Institutional claims

(837I)
Submit institutional claims to Optimed Health and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

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

Dental claims

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

Unsolicited claim attachments

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