This page contains information you can use to exchange healthcare transactions with Optum Managed Medicaid Service using Stedi.
Use any of the following payer IDs to send transactions to Optum Managed Medicaid Service using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
Supported transactions
Use Stedi to exchange the following transactions with Optum Managed Medicaid Service using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Not supported
Eligibility checks
(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Optum Managed Medicaid Service.
Not supported
Coordination of benefits checks
(COB)
Submit coordination of benefit checks to Optum Managed Medicaid Service 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 Optum Managed Medicaid Service in real-time by sending a claim status check (276/277).
Supported
Professional claims
(837P)
Submit professional claims to Optum Managed Medicaid Service and receive 277 claim acknowledgments asynchronously.
Supported
Institutional claims
(837I)
Submit institutional claims to Optum Managed Medicaid Service and receive 277 claim acknowledgments asynchronously.
Not supported
Claim payments
(835 ERA)
Receive electronic remittance advice (ERAs) from Optum Managed Medicaid Service to review full payment details.
Not supported
Dental claims
(837D)
Submit dental claims to Optum Managed Medicaid Service and receive 277 claim acknowledgments asynchronously.
Not supported
Unsolicited claim attachments
(275)
Receive unsolicited attachments for claims submitted to Optum Managed Medicaid Service.
Get started
Start processing healthcare transactions with Stedi and Optum Managed Medicaid Service today.