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Care1st Health Plan California

This page contains information you can use to exchange healthcare transactions with Care1st Health Plan California using Stedi.
Use any of the following payer IDs to send transactions to Care1st Health Plan California using Stedi APIs or SFTP. Read the docs
Primary Payer ID
57115
Stedi Payer ID
WAIOY
Payer ID aliases
10973, 1627, 57115, 57115MA, 6114
Coverage types
Medical

Supported transactions

Use Stedi to exchange the following transactions with Care1st Health Plan California 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 Care1st Health Plan California.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Care1st Health Plan California 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 Care1st Health Plan California in real-time by sending a claim status check (276/277).
Supported

Professional claims

(837P)
Submit professional claims to Care1st Health Plan California and receive 277 claim acknowledgments asynchronously.
Supported

Institutional claims

(837I)
Submit institutional claims to Care1st Health Plan California and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Care1st Health Plan California to review full payment details.
Not supported

Dental claims

(837D)
Submit dental claims to Care1st Health Plan California and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Care1st Health Plan California.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Care1st Health Plan California and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Care1st Health Plan California today.
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