What is the Stedi payer ID for CommuniCare Advantage?

The Stedi payer ID for CommuniCare Advantage is DAINT.

What is the primary payer ID for CommuniCare Advantage?

The primary payer ID for CommuniCare Advantage is 34525.

What payer IDs does CommuniCare Advantage use?

In addition to its primary payer ID 34525, CommuniCare Advantage uses several other payer IDs, including 34525, 5095, and 9144.

What transactions does CommuniCare Advantage support?

CommuniCare Advantage supports the following transactions: 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with CommuniCare Advantage?

CommuniCare Advantage requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. CommuniCare Advantage supports COB checks through Stedi.

All payers

PAYER

CommuniCare Advantage

This page contains information you can use to exchange healthcare transactions with CommuniCare Advantage using Stedi.

Use any of the following payer IDs to send transactions to CommuniCare Advantage using Stedi APIs or SFTP. Read the docs

Primary Payer ID

34525

Stedi Payer ID

DAINT

Payer ID aliases

34525, 5095, 9144

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CommuniCare Advantage 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 CommuniCare Advantage.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CommuniCare Advantage 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 CommuniCare Advantage in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CommuniCare Advantage to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CommuniCare Advantage.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CommuniCare Advantage and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CommuniCare Advantage today.

Payer Network

All payers

PAYER

CommuniCare Advantage

This page contains information you can use to exchange healthcare transactions with CommuniCare Advantage using Stedi.

Use any of the following payer IDs to send transactions to CommuniCare Advantage using Stedi APIs or SFTP. Read the docs

Primary Payer ID

34525

Stedi Payer ID

DAINT

Payer ID aliases

34525, 5095, 9144

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CommuniCare Advantage 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 CommuniCare Advantage.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to CommuniCare Advantage 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 CommuniCare Advantage in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CommuniCare Advantage to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to CommuniCare Advantage and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CommuniCare Advantage.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CommuniCare Advantage and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CommuniCare Advantage today.