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Care Access Health Plan

This page contains information you can use to exchange healthcare transactions with Care Access Health Plan using Stedi.
Use any of the following payer IDs to send transactions to Care Access Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
65062
Stedi Payer ID
SDMHP
Payer ID aliases
12K89, 5229, 65062, 65062MA, 6910, A1680
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Care Access Health Plan 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 Care Access Health Plan.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

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

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Care Access Health Plan.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Care Access Health Plan and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Care Access Health Plan 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.
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