What is the Stedi payer ID for FirstCare?

The Stedi payer ID for FirstCare is PFMZX.

What is the primary payer ID for FirstCare?

The primary payer ID for FirstCare is 94998.

What payer IDs does FirstCare use?

In addition to its primary payer ID 94998, FirstCare uses several other payer IDs, including 1656, 5854, and 94998.

What transactions does FirstCare support?

FirstCare supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with FirstCare?

FirstCare requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. FirstCare supports COB checks through Stedi.

What other names does FirstCare go by?

FirstCare is also known as FirstCare Star Medicaid.

All payers

PAYER

FirstCare

This page contains information you can use to exchange healthcare transactions with FirstCare using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to FirstCare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with FirstCare 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.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from FirstCare to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Hours

Not supported

Dental claims

(837D)

Submit dental claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to FirstCare.

Get started

Use Stedi's APIs to get fast and reliable connectivity to FirstCare and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and FirstCare today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

FirstCare Star Medicaid

Payer Network

All payers

PAYER

FirstCare

This page contains information you can use to exchange healthcare transactions with FirstCare using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to FirstCare using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with FirstCare 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.

Not supported

Coordination of benefits checks

(COB)

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

Supported

Professional claims

(837P)

Submit professional claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from FirstCare to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Hours

Not supported

Dental claims

(837D)

Submit dental claims to FirstCare and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to FirstCare.

Get started

Use Stedi's APIs to get fast and reliable connectivity to FirstCare and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and FirstCare today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

FirstCare Star Medicaid