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National Centers for Medicare & Medicaid Services
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National Centers for Medicare & Medicaid Services

This page contains information you can use to exchange healthcare transactions with National Centers for Medicare & Medicaid Services using Stedi.
Use any of the following payer IDs to send transactions to National Centers for Medicare & Medicaid Services using Stedi APIs or SFTP. Read the docs
Primary Payer ID
CMS
Stedi Payer ID
JDNSN
Payer ID aliases
CMS, CMSMED, MAPMC, MEDICARE, Z1073
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with National Centers for Medicare & Medicaid Services using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
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.
Enrollment process type
One-click
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.
Claims processing
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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to National Centers for Medicare & Medicaid Services.
Get started
Use Stedi's APIs to get fast and reliable connectivity to National Centers for Medicare & Medicaid Services and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and National Centers for Medicare & Medicaid Services today.
Contact us
Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • CMS
  • HETS
Stedi Product
  • Pricing
  • Claims
  • Eligibility checks
  • Enrollments
  • EDI Platform