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EMC Risk Services

EMC Risk Services

This page contains information you can use to exchange healthcare transactions with EMC Risk Services using Stedi.
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Use any of the following payer IDs to send transactions to EMC Risk Services using Stedi APIs or SFTP. Read the docs
Medical

Supported transactions

Use Stedi to exchange the following transactions with EMC Risk Services 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.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks 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 previously submitted claim in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims and receive 277 claim acknowledgments asynchronously.
Supported,

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for submitted claims.
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Start processing healthcare transactions with Stedi and EMC Risk Services 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.
  • Allied Construction
  • City of Ames
  • City of Des Moines
  • City of West Des Moines
  • Dahls Foods
  • Discovery Hy Vee
  • Dustrol
  • EMC Insurance
  • Employers Mutual Casualty Company
  • Hy Vee
  • Johnston Schools
  • Keystone
  • Musco
  • Prairie Meadows
  • Standard Forwarding
  • Vermeer
  • Victor Plastics
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