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Optum Care Network - Monarch IPA

Optum Care Network - Monarch IPA

This page contains information you can use to exchange healthcare transactions with Optum Care Network - Monarch IPA using Stedi.
Use any of the following payer IDs to send transactions to Optum Care Network - Monarch IPA using Stedi APIs or SFTP. Read the docs
Primary Payer ID
IP095
Stedi Payer ID
MCPKR
Payer ID aliases
2475, 6606, IP095, MHIPA
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Optum Care Network - Monarch IPA using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Optum Care Network - Monarch IPA.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Optum Care Network - Monarch IPA 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 Optum Care Network - Monarch IPA in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Optum Care Network - Monarch IPA and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Optum Care Network - Monarch IPA and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Optum Care Network - Monarch IPA to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Optum Care Network - Monarch IPA and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Optum Care Network - Monarch IPA.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Optum Care Network - Monarch IPA and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Optum Care Network - Monarch IPA 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.
  • Acclaim Independent Practice Association
  • Anaheim Memorial Independent Practice Association (MHCAN)
  • Long Beach Memorial Independent Practice Association (MHCAN)
  • Memorial Healthcare Independent Practice Association
  • Monarch Independent Practice Association
  • Orange Coast Memorial Independent Practice Association
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