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Medicaid Delaware

Medicaid Delaware

This page contains information you can use to exchange healthcare transactions with Medicaid Delaware using Stedi.
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Use any of the following payer IDs to send transactions to Medicaid Delaware using Stedi APIs or SFTP. Read the docs
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Dental, Medical
AK
WI
VT
NH
ME
WA
ID
MT
ND
MN
IL
MI
NY
MA
OR
NV
WY
SD
IA
IN
OH
PA
NJ
CT
RI
CA
UT
CO
NE
MO
KY
WV
VA
DC
MD
DE
AZ
NM
KS
AR
TN
NC
SC
OK
LA
MS
AL
GA
HI
TX
FL
Territories
ASGUMPPRVI
Covered
Not covered
Medicaid

Supported transactions

Use Stedi to exchange the following transactions with Medicaid Delaware 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.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Days
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for submitted claims.
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Start processing healthcare transactions with Stedi and Medicaid Delaware 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.
  • DHSS
  • Delaware Health and Social Services
  • Delaware Medical Assistance
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