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Optum San Diego Public Sector CFWB Medi-Cal

This page contains information you can use to exchange healthcare transactions with Optum San Diego Public Sector CFWB Medi-Cal using Stedi.
Use any of the following payer IDs to send transactions to Optum San Diego Public Sector CFWB Medi-Cal 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 Optum San Diego Public Sector CFWB Medi-Cal 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 Optum San Diego Public Sector CFWB Medi-Cal.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Optum San Diego Public Sector CFWB Medi-Cal 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 Optum San Diego Public Sector CFWB Medi-Cal in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Optum San Diego Public Sector CFWB Medi-Cal and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Optum San Diego Public Sector CFWB Medi-Cal and receive 277 claim acknowledgments asynchronously.
Not supported

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Optum San Diego Public Sector CFWB Medi-Cal to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Optum San Diego Public Sector CFWB Medi-Cal and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Optum San Diego Public Sector CFWB Medi-Cal.
Get started
Start processing healthcare transactions with Stedi and Optum San Diego Public Sector CFWB Medi-Cal today.
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