This page contains information you can use to exchange healthcare transactions with CapRock Health Plans using Stedi.
Use any of the following payer IDs to send transactions to CapRock Health Plans using Stedi APIs or SFTP. Read the docs
Primary Payer ID
CAPHP
Stedi Payer ID
HBGRL
Payer ID aliases
5848, CAPHP, CAPROK
Coverage types
Dental, Medical
Supported transactions
Use Stedi to exchange the following transactions with CapRock Health Plans 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 CapRock Health Plans.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to CapRock Health Plans 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 CapRock Health Plans in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to CapRock Health Plans and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to CapRock Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from CapRock Health Plans to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to CapRock Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to CapRock Health Plans.
Get started
Use Stedi's APIs to get fast and reliable connectivity to CapRock Health Plans and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and CapRock Health Plans today.