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Blue Cross Community Options

Blue Cross Community Options

This page contains information you can use to exchange healthcare transactions with Blue Cross Community Options using Stedi.
Use any of the following payer IDs to send transactions to Blue Cross Community Options using Stedi APIs or SFTP. Read the docs
Primary Payer ID
MCDIL
Stedi Payer ID
GKTYD
Payer ID aliases
11183, 66005, 7165, 8606, MCDIL
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Blue Cross Community Options 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 Blue Cross Community Options.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Blue Cross Community Options 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 Blue Cross Community Options in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Blue Cross Community Options and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Blue Cross Community Options and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Blue Cross Community Options to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

(837D)
Submit dental claims to Blue Cross Community Options and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Blue Cross Community Options.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Blue Cross Community Options and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Blue Cross Community Options 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.
  • Blue Cross Community Health Plans
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