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Meridian Health Plan Illinois

This page contains information you can use to exchange healthcare transactions with Meridian Health Plan Illinois using Stedi.
Use any of the following payer IDs to send transactions to Meridian Health Plan Illinois using Stedi APIs or SFTP. Read the docs
Primary Payer ID
13189
Stedi Payer ID
PKFAN
Payer ID aliases
10644, 13189, 14340, 14520, 4777, 9102, MCCIL, MERIL, MHPIL, MHPILMA
Parent group
Centene Corporation Group
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Meridian Health Plan Illinois 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 Meridian Health Plan Illinois.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Meridian Health Plan Illinois 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 Meridian Health Plan Illinois in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Meridian Health Plan Illinois and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Meridian Health Plan Illinois and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Meridian Health Plan Illinois to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Meridian Health Plan Illinois and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Meridian Health Plan Illinois.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Meridian Health Plan Illinois and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Meridian Health Plan Illinois 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.
  • Meridian Health Plan Illinois Complete
  • Meridian Health Plan Illinois Medicaid
  • YouthCare HealthChoice Illinois
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