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Centene (Medical)

Centene (Medical)

This page contains information you can use to exchange healthcare transactions with Centene (Medical) using Stedi.
Use any of the following payer IDs to send transactions to Centene (Medical) using Stedi APIs or SFTP. Read the docs
Primary Payer ID
68069
Stedi Payer ID
IMJGY
Payer ID aliases
10451, 10560, 10561, 10562, 10564, 10565, 10566, 10586, 10587, 10589, 10590, 10592, 10620, 10756, 10759, 10760, 10761, 10763, 10764, 10765, 10771, 10865, 10866, 11034, 11057, 11070, 11082, 11120, 11126, 11180, 11223, 1164, 1263, 1299, 13288, 13291, 13297, 14329, 14334, 14338, 14382, 14509, 2111, 2262, 2289, 2417, 2701, 2702, 2703, 3119, 3235, 39186, 39188, 39188MA, 42139, 4272, 4560, 4652, 4717, 4793, 5286, 6157, 6196, 6197, 6249, 6262, 6748, 6753, 6755, 6756, 6757, 6759, 6761, 6762, 68056, 68056MA, 68057, 68069, 68069MA, 7286, 7287, 7295, 7740, 7751, 7766, 7767, 7768, 7769, 7770, 7772, 7773, 7774, 7775, 7776, 7783, 7784, 7785, 7786, 7808, 7809, 7874, 8102, 8103, 8106, 8136, 8162, 8299, 8537, 8741, 8766, 8793, 9172, 9175, 9181, 9278, 9293, 9430, 9431, 9432, 9433, 9747, 9775, J68069MA, NEBTC, OQJZW, YWJMO, Z96336
Parent group
Centene Corporation Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Centene (Medical) 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 Centene (Medical).
Supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

(837I)
Submit institutional claims to Centene (Medical) and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Centene (Medical) to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Centene (Medical) and receive 277 claim acknowledgments asynchronously.
Supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Centene (Medical).
Get started
Use Stedi's APIs to get fast and reliable connectivity to Centene (Medical) and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Centene (Medical) 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.
  • Absolute Total Care
  • Ambetter
  • Ambetter from Buckeye Community Health Plan
  • Ambetter from CeltiCare Health
  • Ambetter from Coordinated Care
  • Ambetter from Health Net
  • Ambetter from Magnolia Health Plan
  • Ambetter from Managed Health Services
  • Ambetter from Peach State Health Plan
  • Ambetter from Sunshine Health
  • Ambetter from Superior HealthPlan
  • Ambetter of Arkansas
  • Arizona Complete Health
  • Arizona Complete Health (Complete Care Plan)
  • Arkansas Total Care
  • Ascension Complete
  • Bridgeway Health Solutions
  • Buckeye Health Plan
  • CalViva
  • California Health and Wellness
  • Care1st Health Plan Arizona (Arizona Health Care Cost Containment System Complete Care)
  • Care1st Health Plan Arizona (Right Health Benefits Association)
  • Carolina Complete Health
  • Celticare Health
  • Centene Medicare
  • Centene TPA
  • Coordinated Care
  • Delaware First Health
  • Fidelis Secure Life
  • Granite State Health Plan
  • Health Net Medicare Advantage
  • Home State Health Plan
  • Iowa Total Care
  • Louisiana Health Exchange
  • Louisiana Healthcare Connections
  • MHS Health Wisconsin
  • MHS Wisconsin Health
  • Magnolia Health
  • Managed Health Services Indiana
  • Meridian Health Plan Michigan
  • Meridian Health Plan Michigan Complete
  • Michigan Complete Health
  • Michigan Complete Health (Fidelis Secure Life)
  • Nebraska Total Care
  • New Hampshire Healthy Families
  • Oklahoma Complete Health
  • Partner Health Management Physical Health
  • Partners Health Management Physical Health
  • Peach State Health Plan
  • Pennsylvania Health and Wellness
  • SanData
  • SilverSummit
  • Sunflower Health Plan
  • Sunshine Health
  • Superior HealthPlan
  • Trillium Community Health Plan
  • Trillium Health Resources - Physical Health
  • Trillium Medicare
  • WellCare
  • WellCare by Allwell
  • WellCare by Health Net
  • WellCare by Trillium Advantage
  • Western Sky Community Care
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