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Medicare Oklahoma Part A

Medicare Oklahoma Part A

This page contains information you can use to exchange healthcare transactions with Medicare Oklahoma Part A using Stedi.
Use any of the following payer IDs to send transactions to Medicare Oklahoma Part A using Stedi APIs or SFTP. Read the docs
Primary Payer ID
04311
Stedi Payer ID
QMCZY
Payer ID aliases
04311
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Medicare Oklahoma Part A 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 to Medicare Oklahoma Part A.
Enrollment process type
One-click
Activation timeframe
Hours
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medicare Oklahoma Part A 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 Medicare Oklahoma Part A in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Medicare Oklahoma Part A and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

(837I)
Submit institutional claims to Medicare Oklahoma Part A and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicare Oklahoma Part A to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Medicare Oklahoma Part A and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicare Oklahoma Part A.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicare Oklahoma Part A and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicare Oklahoma Part A 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.
  • Novitas - Oklahoma
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