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Avesis Insurance Incorporated

Avesis Insurance Incorporated

This page contains information you can use to exchange healthcare transactions with Avesis Insurance Incorporated using Stedi.
Use any of the following payer IDs to send transactions to Avesis Insurance Incorporated using Stedi APIs or SFTP. Read the docs
Primary Payer ID
87098
Stedi Payer ID
NBPHJ
Payer ID aliases
6135, 86098, 87098, Z0058
Parent group
Guardian Life Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Avesis Insurance Incorporated 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 Avesis Insurance Incorporated.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Avesis Insurance Incorporated and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Avesis Insurance Incorporated and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Avesis Insurance Incorporated to review full payment details.
Supported

Dental claims

(837D)
Submit dental claims to Avesis Insurance Incorporated and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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