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Medica Individual and Family

Medica Individual and Family

This page contains information you can use to exchange healthcare transactions with Medica Individual and Family using Stedi.
Use any of the following payer IDs to send transactions to Medica Individual and Family using Stedi APIs or SFTP. Read the docs
Primary Payer ID
12422
Stedi Payer ID
RJQLO
Payer ID aliases
11171, 12422, 6799, MEDIFB, Z95382
Coverage types
Dental, Medical

Supported transactions

Use Stedi to exchange the following transactions with Medica Individual and Family 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 Medica Individual and Family.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Medica Individual and Family to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Medica Individual and Family in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Medica Individual and Family and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medica Individual and Family to review full payment details.
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medica Individual and Family.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medica Individual and Family and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medica Individual and Family 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.
  • Medica2
  • Medica2 IFB
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