S
Payer Directory
How to check Sutter Senior Care eligibility
A portal or phone check takes a front-desk staffer 10–15 minutes per patient. Sutter Senior Care 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
SC028Screen agent · setup requiredThree ways to verify Sutter Senior Care 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.
Sutter Senior Care at a glance
What billers need before running a check.
Payer ID
SC028Also known as 6813
Real-time eligibility
Via screen agent
Sutter Senior Care has no eligibility API, so our screen agent runs the portal check for you on your schedule. Setup required.
Coverage
medical
Operating area
California
Payer website
www.sutterhealth.orgSupported transactions
What can be exchanged electronically with Sutter Senior Care 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 Sutter Senior Care?+–
Sutter Senior Care uses payer ID SC028. It also appears as 6813 in some systems.
Does Sutter Senior Care support real-time eligibility verification?+–
Sutter Senior Care 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 Sutter Senior Care 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 Sutter Senior Care eligibility check
From $0.50 per check, pay-as-you-go. No contract, no implementation project.
Billing more than Sutter Senior Care? — 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
