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Medica Government Programs

Medica Government Programs

This page contains information you can use to exchange healthcare transactions with Medica Government Programs using Stedi.
Use any of the following payer IDs to send transactions to Medica Government Programs using Stedi APIs or SFTP. Read the docs
Primary Payer ID
MEDM1
Stedi Payer ID
EQAHD
Payer ID aliases
14514, 8860, MEDGP, MEDM1
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medica Government Programs 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 Medica Government Programs.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Medica Government Programs and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Medica Government Programs and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medica Government Programs to review full payment details.
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medica Government Programs.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medica Government Programs and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medica Government Programs 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.
  • Dean Health Plan BadgerCare Plus
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