What is the Stedi payer ID for CarePlus?

The Stedi payer ID for CarePlus is LVFMN.

What is the primary payer ID for CarePlus?

The primary payer ID for CarePlus is 95092.

What payer IDs does CarePlus use?

In addition to its primary payer ID 95092, CarePlus uses several other payer IDs, including 10056, 1682, 2830, 95092, and CRPLUS.

What transactions does CarePlus support?

CarePlus 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.

What transaction types require transaction enrollment with CarePlus?

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

What is transaction enrollment?

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

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. CarePlus supports COB checks through Stedi.

What other names does CarePlus go by?

CarePlus is also known as CarePlus Health Plans.

All payers

PAYER

CarePlus

This page contains information you can use to exchange healthcare transactions with CarePlus using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to CarePlus using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

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Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CarePlus 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 CarePlus.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CarePlus to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CarePlus.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CarePlus and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CarePlus today.

Other names

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

CarePlus Health Plans

Payer Network

All payers

PAYER

CarePlus

This page contains information you can use to exchange healthcare transactions with CarePlus using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to CarePlus using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with CarePlus 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 CarePlus.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from CarePlus to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Weeks

Not supported

Dental claims

(837D)

Submit dental claims to CarePlus and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to CarePlus.

Get started

Use Stedi's APIs to get fast and reliable connectivity to CarePlus and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and CarePlus today.

Other names

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

CarePlus Health Plans