What is the Stedi payer ID for CDPHP?

The Stedi payer ID for CDPHP is OGKGP.

What is the primary payer ID for CDPHP?

The primary payer ID for CDPHP is 141641028.

What payer IDs does CDPHP use?

In addition to its primary payer ID 141641028, CDPHP uses several other payer IDs, including 10458, 141641028, 2987, 3786, 95491, CDPHP, DX036, GITEY, JCUFN, SX065, SX065MA, and ZNJOR.

What transactions does CDPHP support?

CDPHP supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

What transaction types require transaction enrollment with CDPHP?

CDPHP requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. CDPHP supports COB checks through Stedi.

What other names does CDPHP go by?

CDPHP is also known as Capital District Physicians Health Plan and Capital District Physicians' Health Plan.

All payers

PAYER

CDPHP

This page contains information you can use to exchange healthcare transactions with CDPHP using Stedi.

Use any of the following payer IDs to send transactions to CDPHP using Stedi APIs or SFTP. Read the docs

Primary Payer ID

141641028

Stedi Payer ID

OGKGP

Payer ID aliases

10458, 141641028, 2987, 3786, 95491, CDPHP, DX036, GITEY, JCUFN, SX065, SX065MA, ZNJOR

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CDPHP 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 CDPHP.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CDPHP to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to CDPHP in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CDPHP to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CDPHP.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CDPHP and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CDPHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Capital District Physicians Health Plan
Capital District Physicians' Health Plan

Payer Network

All payers

PAYER

CDPHP

This page contains information you can use to exchange healthcare transactions with CDPHP using Stedi.

Use any of the following payer IDs to send transactions to CDPHP using Stedi APIs or SFTP. Read the docs

Primary Payer ID

141641028

Stedi Payer ID

OGKGP

Payer ID aliases

10458, 141641028, 2987, 3786, 95491, CDPHP, DX036, GITEY, JCUFN, SX065, SX065MA, ZNJOR

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CDPHP 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 CDPHP.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CDPHP to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to CDPHP in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CDPHP to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CDPHP and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CDPHP.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CDPHP and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CDPHP today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Capital District Physicians Health Plan
Capital District Physicians' Health Plan