This page contains information you can use to exchange healthcare transactions with Metcare Health Plans using Stedi.
Use any of the following payer IDs to send transactions to Metcare Health Plans using Stedi APIs or SFTP. Read the docs
Primary Payer ID
65113
Stedi Payer ID
OXSEY
Payer ID aliases
4282, 65113
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with Metcare Health Plans 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 Metcare Health Plans.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Metcare Health Plans 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 Metcare Health Plans in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Metcare Health Plans and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Metcare Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Metcare Health Plans to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Metcare Health Plans and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Metcare Health Plans.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Metcare Health Plans and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Metcare Health Plans today.