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FirstCare Star Medicaid

This page contains information you can use to exchange healthcare transactions with FirstCare Star Medicaid using Stedi.
Use any of the following payer IDs to send transactions to FirstCare Star Medicaid using Stedi APIs or SFTP. Read the docs
Primary Payer ID
94998
Stedi Payer ID
PFMZX
Payer ID aliases
1656, 5854, 94998
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with FirstCare Star 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 FirstCare Star Medicaid.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to FirstCare Star Medicaid 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 FirstCare Star Medicaid in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to FirstCare Star Medicaid and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to FirstCare Star Medicaid and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from FirstCare Star Medicaid to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to FirstCare Star Medicaid and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to FirstCare Star Medicaid.
Get started
Use Stedi's APIs to get fast and reliable connectivity to FirstCare Star Medicaid and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and FirstCare Star Medicaid today.
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