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CareCentrix WellCare

CareCentrix WellCare

This page contains information you can use to exchange healthcare transactions with CareCentrix WellCare using Stedi.
Use any of the following payer IDs to send transactions to CareCentrix WellCare using Stedi APIs or SFTP. Read the docs
Primary Payer ID
11350
Stedi Payer ID
CXCIJ
Payer ID aliases
11350
Coverage types
Dental, Medical, Vision

Supported transactions

Use Stedi to exchange the following transactions with CareCentrix WellCare 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 to CareCentrix WellCare.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

(837I)
Submit institutional claims to CareCentrix WellCare and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from CareCentrix WellCare to review full payment details.
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to CareCentrix WellCare.
Get started
Use Stedi's APIs to get fast and reliable connectivity to CareCentrix WellCare and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and CareCentrix WellCare today.
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