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Payer Directory
How to check Seton Health Plan (Children's Health Insurance Program) eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Seton Health Plan (Children's Health Insurance Program) has no eligibility API — so instead of your staff doing that, our screen agent runs the portal check for you, on your schedule.
Payer ID
SHPCHScreen agent · setup requiredThree ways to verify Seton Health Plan (Children's Health Insurance Program) coverage
- Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
- Phone (IVR) — hold times vary; no written record for the chart.
- Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.
Seton Health Plan (Children's Health Insurance Program) at a glance
What billers need before running a check.
Payer ID
SHPCHReal-time eligibility
Via screen agent
Seton Health Plan (Children's Health Insurance Program) has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Operating area
Not published
Supported transactions
What can be exchanged electronically with Seton Health Plan (Children's Health Insurance Program) today.
| Transaction | Status |
|---|---|
Eligibility (270/271) Real-time benefit and coverage checks | NOT AVAILABLE |
Claim status (276/277) Where a submitted claim stands | NOT AVAILABLE |
Professional claims (837P) Physician and outpatient claims | SUPPORTED |
Institutional claims (837I) Facility claims | SUPPORTED |
Dental claims (837D) Dental claims | NOT AVAILABLE |
Remittance (835 ERA) Electronic remittance advice | NOT AVAILABLE |
Coordination of benefits Secondary-payer routing | NOT AVAILABLE |
Claim attachments (275) Supporting documentation | NOT AVAILABLE |
Portal vs. phone vs. automated
The same verification, three ways.
| Payer portal | Phone / IVR | Automated check | |
|---|---|---|---|
| Time per patient | 10–15 min | 15–30 min | Seconds |
| Cost per check | ~$7.97 staff time* | ~$7.97+ staff time* | from $0.50 |
| Record for the chart | Screenshot | None | Full audit trail |
| Whole-day schedule | One at a time | One at a time | Batched overnight |
*CAQH Index benchmark for a manual eligibility verification.
Frequently asked questions
What is the payer ID for Seton Health Plan (Children's Health Insurance Program)?+–
Seton Health Plan (Children's Health Insurance Program) uses payer ID SHPCH.
Does Seton Health Plan (Children's Health Insurance Program) support real-time eligibility verification?+–
Seton Health Plan (Children's Health Insurance Program) has no eligibility API, so there is no 270/271 transaction to send. Checks still run automatically: our screen agent performs the portal check for you on your schedule, rather than a staff member doing it per patient. Setup is required. Claims can be submitted electronically.
How long does a Seton Health Plan (Children's Health Insurance Program) eligibility check take?+–
A portal check takes 10–15 minutes of staff time per patient. A screen agent runs the same check without occupying anyone — scheduled ahead of the day's appointments, so results are waiting rather than being fetched one patient at a time.
Run your first Seton Health Plan (Children's Health Insurance Program) eligibility check
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
Billing more than Seton Health Plan (Children's Health Insurance Program)? — upload it and see which of your payers run automatically.
65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production
