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Quartz

Quartz

This page contains information you can use to exchange healthcare transactions with Quartz using Stedi.
Use any of the following payer IDs to send transactions to Quartz using Stedi APIs or SFTP. Read the docs
Primary Payer ID
39180
Stedi Payer ID
PCRNS
Payer ID aliases
10349, 13298, 39180, 39180MA, 7264, 8677, QUARTZ
Parent group
University Health Care and Gundersen Lutheran Group
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Quartz 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 Quartz.
Supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Quartz and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Quartz.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Quartz and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Quartz 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.
  • QHPMC
  • Quartz Health Benefit Plans Corporation
  • Quartz Health Insurance Corporation
  • Quartz Health Plan Corporation
  • Quartz Health Plan MN Corporation
  • Quartz Health Solutions, Inc.
  • Unity Health Insurance
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