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Direct Care Administrators

Direct Care Administrators

This page contains information you can use to exchange healthcare transactions with Direct Care Administrators using Stedi.
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Use any of the following payer IDs to send transactions to Direct Care Administrators using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,
Coverage types
Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Direct Care Administrators 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 Direct Care Administrators.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Direct Care Administrators and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Direct Care Administrators and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Direct Care Administrators to review full payment details.
Enrollment process type
One-click
Activation timeframe
Weeks
ERA aggregation preferences 
NPI, TIN
Requested effective date 
Not supported
Not supported

Dental claims

(837D)
Submit dental claims to Direct Care Administrators and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Direct Care Administrators.
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Start processing healthcare transactions with Stedi and Direct Care Administrators 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.
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