This page contains information you can use to exchange healthcare transactions with North Carolina Medicaid using Stedi.
Use any of the following payer IDs to send transactions to North Carolina Medicaid using Stedi APIs or SFTP. Read the docs
Primary Payer ID
NCMCD
Stedi Payer ID
NWBOA
Payer ID aliases
10156, 12K23, 377, CKNC1, NCMCD, NCTRACKS, SKNC0
Coverage types
Dental, Medical, Vision
Supported transactions
Use Stedi to exchange the following transactions with North Carolina Medicaid 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 North Carolina Medicaid.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to North Carolina Medicaid 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 North Carolina Medicaid in real-time by sending a claim status check (276/277).
Supported, enrollment required
Professional claims
(837P)
Submit professional claims to North Carolina Medicaid and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Hours
Supported, enrollment required
Institutional claims
(837I)
Submit institutional claims to North Carolina Medicaid and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Hours
Supported, enrollment required
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from North Carolina Medicaid to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Hours
Supported, enrollment required
Dental claims
(837D)
Submit dental claims to North Carolina Medicaid and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Hours
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to North Carolina Medicaid.
Get started
Use Stedi's APIs to get fast and reliable connectivity to North Carolina Medicaid and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and North Carolina Medicaid today.