This page contains information you can use to exchange healthcare transactions with Modivcare using Stedi.
Use any of the following payer IDs to send transactions to Modivcare using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
Supported transactions
Use Stedi to exchange the following transactions with Modivcare using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported
Eligibility checks
(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Modivcare.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Modivcare to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported
Real-time claim status
(276/277)
Check on the status of a claim previously submitted to Modivcare in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Modivcare and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Modivcare and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Modivcare to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Modivcare and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Modivcare.
Get started
Start processing healthcare transactions with Stedi and Modivcare today.