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One Health Plan California

One Health Plan California

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

Supported transactions

Use Stedi to exchange the following transactions with One Health Plan California 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 One Health Plan California.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to One Health Plan California.
Get started
Start processing healthcare transactions with Stedi and One Health Plan 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.
  • Key Benefit Administrators
  • One Health Plan
  • OneHealthPlan
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