Question 1

What is the Stedi payer ID for Centene (Medical)?

Accepted Answer

The Stedi payer ID for Centene (Medical) is IMJGY.

Question 2

What is the primary payer ID for Centene (Medical)?

Accepted Answer

The primary payer ID for Centene (Medical) is 68069.

Question 3

What payer IDs does Centene (Medical) use?

Accepted Answer

In addition to its primary payer ID 68069, Centene (Medical) uses several other payer IDs, including 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, and Z96336.

Question 4

What transactions does Centene (Medical) support?

Accepted Answer

Centene (Medical) supports the following transactions: 270/271 eligibility checks, 270/271 coordination of benefit (COB) checks, 837P professional claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), 275 claim attachments, and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with Centene (Medical)?

Accepted Answer

Centene (Medical) 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. Centene (Medical) supports COB checks through Stedi.

Question 8

What is Centene (Medical)'s parent group?

Accepted Answer

Centene (Medical) is part of Centene Corporation Group.

Question 9

What other names does Centene (Medical) go by?

Accepted Answer

Centene (Medical) is also known as 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, and Western Sky Community Care.

Centene (Medical)

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments