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New York City Employees (NYCE) PPO Plan

New York City Employees (NYCE) PPO Plan

This page contains information you can use to exchange healthcare transactions with New York City Employees (NYCE) PPO Plan using Stedi.
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Use any of the following payer IDs to send transactions to New York City Employees (NYCE) PPO Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases

Supported transactions

Use Stedi to exchange the following transactions with New York City Employees (NYCE) PPO Plan 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 New York City Employees (NYCE) PPO Plan.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to New York City Employees (NYCE) PPO Plan 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 New York City Employees (NYCE) PPO Plan in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to New York City Employees (NYCE) PPO Plan and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to New York City Employees (NYCE) PPO Plan and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from New York City Employees (NYCE) PPO Plan to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to New York City Employees (NYCE) PPO Plan and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to New York City Employees (NYCE) PPO Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to New York City Employees (NYCE) PPO Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and New York City Employees (NYCE) PPO Plan 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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