Question 1

What is the Stedi payer ID for CareSource Dual Advantage?

Accepted Answer

The Stedi payer ID for CareSource Dual Advantage is QHVSU.

Question 2

What is the primary payer ID for CareSource Dual Advantage?

Accepted Answer

The primary payer ID for CareSource Dual Advantage is 31114.

Question 3

What payer IDs does CareSource Dual Advantage use?

Accepted Answer

In addition to its primary payer ID 31114, CareSource Dual Advantage uses several other payer IDs, including 00031, 0003150, 00110, 14383, 2526, 31114, 31114MA, 3826, 7070, 9458, CKOH2, CRSROH, CSDENMCD2, EJVIF, SKOH1, SKOH2, and SKOH6.

Question 4

What transactions does CareSource Dual Advantage support?

Accepted Answer

CareSource Dual Advantage supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837D dental claims, 837I institutional claims, 835 Electronic Remittance Advices (ERAs), and 276/277 real-time claim status.

Question 5

What transaction types require transaction enrollment with CareSource Dual Advantage?

Accepted Answer

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

Question 6

What is transaction enrollment?

Accepted Answer

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

Question 7

What is a coordination of benefits (COB) check?

Accepted Answer

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

Question 8

What other names does CareSource Dual Advantage go by?

Accepted Answer

CareSource Dual Advantage is also known as CareSource Dual-Eligible Special Needs Plan, CareSource Medicaid Ohio, CareSource Medicare Advantage Ohio, CareSource Ohio, CareSource Ohio Community Transition Plan, CareSource Ohio Dual Eligible (MyCare), CareSource Ohio Marketplace, and CareSource Ohio Medicaid Managed Care Entity.

CareSource Dual Advantage

Supported transactions

Eligibility checks

Coordination of benefits checks

Real-time claim status

Professional claims

Institutional claims

Claim payments

Dental claims

Unsolicited claim attachments