Question 1

What is the Stedi payer ID for Medica Health Plan Solutions?

Accepted Answer

The Stedi payer ID for Medica Health Plan Solutions is IDKTK.

Question 2

What is the primary payer ID for Medica Health Plan Solutions?

Accepted Answer

The primary payer ID for Medica Health Plan Solutions is 71890.

Question 3

What payer IDs does Medica Health Plan Solutions use?

Accepted Answer

In addition to its primary payer ID 71890, Medica Health Plan Solutions uses several other payer IDs, including 11131, 71890, 7859, and MHSRT.

Question 4

What transactions does Medica Health Plan Solutions support?

Accepted Answer

Medica Health Plan Solutions supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Medica Health Plan Solutions?

Accepted Answer

Medica Health Plan Solutions requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

Question 6

What is transaction enrollment?

Accepted Answer

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

A COB checks determines if a member has coverage from more than one payer. Medica Health Plan Solutions supports COB checks through Stedi.

Medica Health Plan Solutions

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments