This page contains information you can use to exchange healthcare transactions with MedFocus using Stedi.
Use any of the following payer IDs to send transactions to MedFocus using Stedi APIs or SFTP. Read the docs
Primary Payer ID
95321
Stedi Payer ID
PATGE
Payer ID aliases
3765, 95321
Coverage types
Medical
Supported transactions
Use Stedi to exchange the following transactions with MedFocus 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 MedFocus.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to MedFocus 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 MedFocus in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to MedFocus and receive 277 claim acknowledgments asynchronously.
Not supported
Institutional claims
(837I)
Submit institutional claims to MedFocus and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from MedFocus to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to MedFocus and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to MedFocus.
Get started
Use Stedi's APIs to get fast and reliable connectivity to MedFocus and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and MedFocus today.