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Medicare Railroad

Medicare Railroad

This page contains information you can use to exchange healthcare transactions with Medicare Railroad using Stedi.
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Use any of the following payer IDs to send transactions to Medicare Railroad using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,
Coverage types
Dental, Medical
Operating states
NATIONAL

Supported transactions

Use Stedi to exchange the following transactions with Medicare Railroad using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks.
Enrollment process type
Multi-step
Activation timeframe
Hours
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks 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 previously submitted claim in real-time by sending a claim status check (276/277).
Supported, enrollment required

Professional claims

(837P)
Submit professional claims and receive 277 claim acknowledgments asynchronously.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for submitted claims.
Get started
Start processing healthcare transactions with Stedi and Medicare Railroad today.
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Other names
Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.
  • Palmetto GBA Railroad Medicare
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