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South Dakota Medicaid - STARS

This page contains information you can use to exchange healthcare transactions with South Dakota Medicaid - STARS using Stedi.
Use any of the following payer IDs to send transactions to South Dakota Medicaid - STARS using Stedi APIs or SFTP. Read the docs
Primary Payer ID
STARS
Stedi Payer ID
GKLQZ
Payer ID aliases
2155, STARS
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with South Dakota Medicaid - STARS 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 South Dakota Medicaid - STARS.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to South Dakota Medicaid - STARS 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 South Dakota Medicaid - STARS in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to South Dakota Medicaid - STARS and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to South Dakota Medicaid - STARS and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from South Dakota Medicaid - STARS to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to South Dakota Medicaid - STARS and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

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