Payer Network

National Centers for Medicare & Medicaid Services

Payer IDs

Stedi’s Payer Network includes three types of Payer IDs. You can use any of these IDs to send transactions through Stedi’s APIs. Learn more

Primary Payer ID

CMS

Stedi payer ID

JDNSN

Aliases

CMS, CMSMED, MEDICARE, Z1073

Use Stedi’s APIs to get fast and reliable connectivity to National Centers for Medicare & Medicaid Services and start sending transactions within minutes.

Transactions

Transact with National Centers for Medicare & Medicaid Services using Stedi’s modern, JSON-based APIs

Supported, enrollment required

Eligibility checks (270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to National Centers for Medicare & Medicaid Services.

Not supported

Real-time claim status (276/277)

Check on the status of a claim previously submitted to National Centers for Medicare & Medicaid Services in real-time by sending a claim status check (276/277).

Not supported

Claim payments (835 ERA)

Receive electronic remittance advice (ERAs) from National Centers for Medicare & Medicaid Services to review full payment details.

Not supported

Dental claims (837D)

Submit dental claims to National Centers for Medicare & Medicaid Services and receive 277 claim acknowledgments asynchronously.

Not supported

Professional claims (837P)

Submit professional claims to National Centers for Medicare & Medicaid Services and receive 277 claim acknowledgments asynchronously.

Not supported

Institutional claims (837I)

Submit institutional claims to National Centers for Medicare & Medicaid Services and receive 277 claim acknowledgments asynchronously.

Not supported

Coordination of benefits checks (COB)

Submit coordination of benefit checks to National Centers for Medicare & Medicaid Services to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Not supported

Unsolicited claim attachments (275)

Receive unsolicited attachments for claims submitted to National Centers for Medicare & Medicaid Services.

What is transaction enrollment?

Transaction enrollment is an administrative process that providers must complete before they can exchange a particular transaction type with a payer. Every payer requires transaction enrollment for electronic claim remittances (ERAs). Many payers also require enrollment for other transaction types, such as claims and eligibility checks. The Stedi customer success team handles the entire transaction enrollment process for you, including submitting the required information to the payer and monitoring the status.

Learn more

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

CMS
HETS

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