What is the Stedi payer ID for Clover Health?

The Stedi payer ID for Clover Health is IXNOC.

What is the primary payer ID for Clover Health?

The primary payer ID for Clover Health is CRPHP.

What payer IDs does Clover Health use?

In addition to its primary payer ID CRPHP, Clover Health uses several other payer IDs, including 10822, 77023, and CRPHP.

What transactions does Clover Health support?

Clover Health supports the following transactions: 270/271 eligibility checks, 837P professional claims, and 837I institutional claims.

What is a coordination of benefits (COB) check?

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

What other names does Clover Health go by?

Clover Health is also known as CarePoint Advantage.

All payers

PAYER

Clover Health

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

Visit payer website

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

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

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Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Clover Health 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 Clover Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Clover Health.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Clover Health today.

Other names

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

CarePoint Advantage

Payer Network

All payers

PAYER

Clover Health

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

Visit payer website

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

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with Clover Health 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 Clover Health.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Not supported

Claim payments

(835 ERA)

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

Not supported

Dental claims

(837D)

Submit dental claims to Clover Health and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to Clover Health.

Get started

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

Start processing healthcare claims and eligibility checks with Stedi and Clover Health today.

Other names

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

CarePoint Advantage