CDAnet Networks, Carriers and Supported Transactions (July 18, 2017)
Notify CDAnet of required changes to this document at:
[email protected]
Policy Information
Network/Carrier Information
Supported CDAnet Transactions
Claims
Predeterminations
O/S Tx
Sum. Recon.
Pmt. Recon.
COB
Attachment
Eligibility
instream
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
705-675-2222
416-922-6565
311140
v.4
365
12 alphanum.
n/a
12 alphanum.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
000105
v.4
14
n/a
n/a
7-10 numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Benecaid (ESC)
Co-Operators (The)
Cowan Insurance Group (ESC)
Desjardins Insurance (ESC)
GMS Insurance Inc. (GMS) (ESC)
Group Medical Services (GMS) (ESC)
Groupe Premier Médical (GPM) (ESC)
1-800-563-3274
1-800-667-8164
1-800-563-3274
1-800-563-3274
1-800-563-3274
1-800-563-3274
1-800-563-3274
610708
606258
610153
000051
610218
610217
610266
v.4
v.4
v.4
v.4
v.4
v.4
v.4
365
365
365
365
365
365
365
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Humania Assurance Inc. (formerly La Survivance) (ESC)
1-800-563-3274
000080
v.4
365
Yes
Yes
Johnston Group (BATCH)
NexgenRx
1-800-665-3365
1-866-394-3648
627223
610634
v.2
v.4
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Non-Insured Health Benefits (NIHB) Program (ESC)
1-888-511-4666
610124
Yes
Yes
1-800-387-8075
Winnipeg: 1-800-952-9932
St John's: 1-800-563-1930
(West) 1-800-232-1997
(East) 1-888-846-4484
1-800-563-3274
PBAS Group (The)
Quikcard
Syndicat des fonctionnaires municipaux de Montréal (SFMM)
(ESC)
Manitoba Blue Cross
Manitoba Blue Cross
Pacific Blue Cross
Pacific Blue Cross (BATCH)
TELUS Health Solutions - Group A
Equitable Life (BATCH)
Great West Life Assurance Company (The)
Industrial Alliance
Industrial Alliance Pacific Life Insurance Co.
National Life of Canada
Yes
1-855-521-1121
1-800-232-1997
Ontario Ironworkers (BATCH)
Yes
705-675-2222
ADSC- Alberta Dental Services Corporation (Alberta
Employment, Immigration, and Industry Program) (Quikcard)
Accerta
Attachment Response (19)
Yes
Yes
Attachment (09)
10 digits, alphanum.
Yes
Eligibility (08)
n/a
Yes
Eligibility Response (18)
8 digits
Yes
COB Claim (07)
365
Yes
Payment Response (16)
v.2 & v.4
610129
Yes
Payment Reconciliation (06)
Yes
Summary Response (15)
Yes
Summary Reconciliation (05)
1-10 digits, alphanum.
Outstanding Response (14)
1-3 digits
alphanum
Request for Outstanding
Transaction (04)
1-5 digits,
alphanum.
v.2, v.4.1
Pred Multi-Page
7
000090
Predetermination EOB (23)
CDCS (BATCH)
Certificate Number
Predetermination (03)
CDCS
1-800-661-7671
Division Number
Predetermination Acknowledg.
(13)
Alberta Blue Cross including
Alberta School Employee Benefit Plan (800-567-8104)
Policy Number
Age limit
(in days)
Claim Reversal Response (12)
1-800-661-7671
CDAnet
Version
Claim Reversal (02)
Alberta Blue Cross
CDAnet
ID/ BIN
Claim EOB (21)
Phone
Claim Acknowledgement (11)
Carrier
Claim (01)
Network
3 and 7 numeric
1 and 5 digits numeric
1 and 10 digits numeric
6 digits
1-12 digits
1-12 digits
1-7, alphanumeric
4 digits
1-12 digits
1-12 digits
n/a
9 digits
1-12 digits
1-12 digits
1-12 digits
Yes
Yes
Yes
Yes
Yes
365
365
5, 9, or 10 digits
8 digits alphanum
n/a
3 alpha
5, 9, or 10 digits
10 numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
v.4
30
10 digits
n/a
n/a
Yes
Yes
Yes
Yes
Yes
000123
v.4
365
3700
n/a
9-10 numeric
Yes
Yes
610256
v.4
30
3 or 5 digits
n/a
n/a or 9 digits
Yes
Yes
Yes
000103
v.4
14
5 alphanum.
n/a
6-10 alphanum.
Yes
Yes
Yes
Yes
Yes
610677
v.4
365
Yes
Yes
Yes
Yes
Yes
000094
v.4
90
1-5 digits
(D+6 numbers)
n/a
Yes
Yes
Yes
Yes
Yes
Yes
Yes
000064
v.4
365
up to 6 digits,
numeric
n/a
Yes
Yes
Yes
Yes
Yes
Yes
000029
000011
000060
000024
000021
v.2
v.2
v.2
v.2
v.2
365
8
365
365
10
5 digits
1-6 digits
5 digits
5 digits
3-5 digits
n/a
n/a
n/a
n/a
n/a
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
1-888-596-1032
1-800-873-2583
1-10 digits, alphanum.
Yes
Yes
1-877-722-2583
604-419-2000 (Within Metro
Vancouver)
1-877-722-2583
604-419-2000 (Within Metro
Vancouver)
up to 10 digits, numeric
1-866-272-2204
1-800-722-6615
1-800-957-9777
514-499-3800
514-499-3800
1-800-668-8270
9-10 digits, numeric
1-9 digits, alphanum.
1-9 digits
1-9 digits
1-9 digits, alphanum.
Yes
Yes
Yes
Yes
1 of 2
CDAnet Networks, Carriers and Supported Transactions (July 18, 2017)
Notify CDAnet of required changes to this document at:
[email protected]
Policy Information
Network/Carrier Information
Supported CDAnet Transactions
Claims
Predeterminations
O/S Tx
Sum. Recon.
Pmt. Recon.
COB
Attachment
Eligibility
Yes
1-855-944-9166, ext 280
1-800-272-2204
1-888-513-4464
514-736-6711
1-888-828-6711
1-877-768-3378
610202
600502
610099
v.4
v.4
v.4
14
365
365
11 digits
10
10 digits, alphanum.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
000036
v.2
610105
v.4
Co-Operators (The)
1-800-667-8164
606258
Cowan Insurance Group (ESC)
Desjardins Insurance (ESC)
Empire Life Insurance Group (The)
ESORSE Corporation
FAS Administrators
Green Shield Canada
GMS Insurance Inc. (GMS) (ESC)
Group Medical Services (GMS) (ESC)
1-800-563-3274
1-800-563-3274
1-800-267-0215
1-877-637-6773
1-800-770-2998
1-800-265-5615
1-800-563-3274
1-800-563-3274
Groupe Premier Médical (GPM) (ESC)
Groupe Financier AGA Inc.
Johnson Inc.
Humania Assurance Inc. (formerly La Survivance) (ESC)
Canadian Benefit Providers (CBP)
Capitale
Claimsecure
1-866-272-2204
10 digits
9 digits
12 digits
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
10 digits
6
4-6 digits
n/a
4
n/a
7
6 digits
4 digits
10 digits, numeric
Yes
Yes
Yes
Yes
Yes
7
4-6 digits
2 digits
3-10 digits, alphanum.
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
v.4
365
3 and 7 numeric
1 and 5 digits numeric
1 and 10 digits numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
610153
000051
000033
610650
610614
000102
610218
610217
v.4
v.4
v.4
v.4
v.4
v.4
v.4
v.4
365
365
365
7
7
365
365
365
6 digits
5 digits, a/n
n/a
6 digits
num.
1-12 digits
1-12 digits
4 digits
3 digits, alphanum
4 digits
n/a
n/a
1-12 digits
1-12 digits
9 digits
9 digits, numeric
10 digits
9 digits, numeric
3-12 digits, alphanum.
1-12 digits
1-12 digits
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
1-800-563-3274
610266
v.4
365
1-7, alphanumeric
n/a
1-12 digits
Yes
Yes
Yes
Yes
Yes
1-866-272-2204
1-800-638-4753
610226
627265
v.4
v.4
7
7
Yes
Yes
Yes
Yes
Yes
1-9 digits, numeric
Yes
Yes
1-800-563-3274
000080
v.4
365
Yes
Yes
Yes
Yes
Yes
613-236-9007
627585
v.2
365
5 digits
1-800-268-3763
311113
v.2
365
416-234-3511
East: 1-800-265-2260
West: 1-800-265-6392
1-800-667-4511
610158
v.4
365
610059
v.2
610047
Interim Federal Health Program - IFHP (Medavie Blue Cross)
1-888-614-1880
610047
MDM
1-800-838-1531
601052
v.2
7
NexgenRx
1-866-394-3648
610634
v.4
365
Non-Insured Health Benefits (NIHB) Program (ESC)
1-888-511-4666
610124
v.4
30
10 digits
RBC Insurance
1-800-265-5615
000124
v.4
365
519-669-1632
306-244-1192
514-312-9046
1-877-713-7379
1-800-463-6262
1-800-499-4415 (English)
1-800-499-4425 (français)
1-855-301-4786
610616
000096
610360
610196
000079
v.4
v.4
v.4
v.4
v.4
365
365
365
7
365
000020
v.4
7
3-5 digits
n/a
000016
v.4
365
1-5 digits
n/a
1-800-563-3274
610677
v.4
1-866-272-2204
610643
v.4
Commission de la construction du Quebec (CCQ)
Coughlin & Associates
Lee Power (BATCH)
Manulife Financial, Affinity Markets - formerly Liberty Health
(BATCH)
Manion Wilkins
Manulife Financial
Medavie Blue Cross
RWAM Insurance
Saskatchewan Blue Cross (Individual plans only)
Segic (BATCH)
SES Benefits
SSQ Financial Group ( Green Shield)
Standard Life Assurance Company (The)
Sun Life Financial
Syndicat des fonctionnaires municipaux de Montréal (SFMM)
(ESC)
U-L Mutual
Attachment Response (19)
Yes
Attachment (09)
365
Claim EOB (21)
v.2
Eligibility (08)
Yes
Yes
610146
Eligibility Response (18)
Yes
Yes
416-498-7723
Benefits Trust (The) (BATCH) - Formerly the Crowder Group
COB Claim (07)
Yes
Yes
Yes
Yes
Payment Response (16)
Yes
Yes
Yes
Yes
Yes
Payment Reconciliation (06)
Yes
Yes
Yes
7
365
365
Summary Response (15)
Yes
Yes
365
v.4
v.4
v.4
Certificate Number
Summary Reconciliation (05)
Yes
Yes
v.4
610191
628151
610708
Division Number
Outstanding Response (14)
Yes
Yes
628112
1-888-869-9797
1-877-944-7100
1-800-563-3274
Association des policières et policiers du Québec (APPQ)
(BATCH)
Assumption Life
Autoben
Benecaid (ESC)
Policy Number
Request for Outstanding
Transaction (04)
Yes
450-922-5414 ext. 7
TELUS Health Solutions - Group B
Phone
Pred Multi-Page
Predetermination (03)
Predetermination Acknowledg.
(13)
Yes
Age limit
(in days)
Carrier
Predetermination EOB (23)
Claim Reversal Response (12)
Yes
CDAnet
Version
Claim Acknowledgement (11)
Yes
CDAnet
ID/ BIN
Claim (01)
Claim Reversal (02)
Network
1-5 digits
1-3 digits
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
n/a
1-9 digits, numeric
Yes
Yes
4-6 digits
n/a
1-11digits, alphanum.
Yes
Yes
Yes
Yes
Yes
Yes
9 digits
3 digits
9 digits
Yes
Yes
Yes
Yes
Yes
Yes
Yes
365
4-6 digits
3 digits
9 digits, numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
v.4
30
8 digits
n/a
11 digits, numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
v.4
30
8 digits
n/a
8 digits, numeric
Yes
Yes
n/a
n/a
11 digits, numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
8 digits alphanum
3 alpha
10 numeric
Yes
Yes
Yes
Yes
Yes
Yes
Yes
n/a
n/a
Yes
Yes
Yes
Yes
Yes
num.
n/a
3-12 digits, alphanum.
Yes
Yes
Yes
Yes
Yes
1-5 digits
12 digits
1-3 digits
10 digits
1-9 digits, numeric
12 digits
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
1-9 digits, alphanum.
Yes
Yes
Yes
usually numeric
Yes
Yes
365
Yes
365
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Changes from May 4, 2017
Sun Life Financial - Petermination EOB transaction is supported
2 of 2