Stedi
Payer Network
Contact usSign up free
All payers
PAYER
Medica Health Plan Solutions

Medica Health Plan Solutions

This page contains information you can use to exchange healthcare transactions with Medica Health Plan Solutions using Stedi.
Visit payer website
Use any of the following payer IDs to send transactions to Medica Health Plan Solutions using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Medica Health Plan Solutions 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 Medica Health Plan Solutions.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medica Health Plan Solutions 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 Medica Health Plan Solutions in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Medica Health Plan Solutions and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Medica Health Plan Solutions and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medica Health Plan Solutions to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

(837D)
Submit dental claims to Medica Health Plan Solutions and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medica Health Plan Solutions.
Get started
Start processing healthcare transactions with Stedi and Medica Health Plan Solutions today.
Contact us
Stedi Product
  • Pricing
  • Eligibility checks
  • Claims
  • Payers
  • Transaction enrollment
  • Stedi apps
  • Support
  • EDI Platform
  • Switch to Stedi
Developers
  • Dev docs
  • API Reference
  • Changelog
  • Status
Resources
  • Payer Network
  • Platform Partners
  • Provider docs
  • HIPAA guides
  • EDI reference
  • EDI inspector
  • EDI network
  • Service Type Code lookup
  • EDI platform docs
Stedi
  • Blog
  • Podcast
  • Careers
  • Customers
  • Trust Center
  • Contact
  • Privacy settings