Use Stedi to exchange the following transactions with Medicaid California Medi-Cal 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 Medicaid California Medi-Cal.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Medicaid California Medi-Cal 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 Medicaid California Medi-Cal in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to Medicaid California Medi-Cal and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to Medicaid California Medi-Cal and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Medicaid California Medi-Cal to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Medicaid California Medi-Cal and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Medicaid California Medi-Cal.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicaid California Medi-Cal and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicaid California Medi-Cal today.