This page contains information you can use to exchange healthcare transactions with Optimum Healthcare Incorporated using Stedi.
Use any of the following payer IDs to send transactions to Optimum Healthcare Incorporated using Stedi APIs or SFTP. Read the docs
Primary Payer ID
20133
Stedi Payer ID
MNYSB
Payer ID aliases
14460, 20133, 20133MA, 4227
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Optimum Healthcare Incorporated 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 Optimum Healthcare Incorporated.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Optimum Healthcare Incorporated 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 Optimum Healthcare Incorporated in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Optimum Healthcare Incorporated and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Optimum Healthcare Incorporated and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Optimum Healthcare Incorporated to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Optimum Healthcare Incorporated and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Optimum Healthcare Incorporated.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Optimum Healthcare Incorporated and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Optimum Healthcare Incorporated today.