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Aetna Medicaid Illinois

Aetna Medicaid Illinois

This page contains information you can use to exchange healthcare transactions with Aetna Medicaid Illinois using Stedi.
Use any of the following payer IDs to send transactions to Aetna Medicaid Illinois using Stedi APIs or SFTP. Read the docs
Primary Payer ID
26337
Stedi Payer ID
HIBRO
Payer ID aliases
26337, 4623, 6140
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Aetna Medicaid Illinois 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 Aetna Medicaid Illinois.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Aetna Medicaid Illinois and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Aetna Medicaid Illinois and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Aetna Medicaid Illinois to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Aetna Medicaid Illinois and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

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