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CareSource North Carolina

CareSource North Carolina

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

Supported transactions

Use Stedi to exchange the following transactions with CareSource North Carolina 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 CareSource North Carolina.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to CareSource North Carolina and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to CareSource North Carolina and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from CareSource North Carolina to review full payment details.
Enrollment process type
One-click
Activation timeframe
Days
Not supported

Dental claims

(837D)
Submit dental claims to CareSource North Carolina and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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