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Medica

Medica

This page contains information you can use to exchange healthcare transactions with Medica using Stedi.
Use any of the following payer IDs to send transactions to Medica using Stedi APIs or SFTP. Read the docs
Primary Payer ID
94265
Stedi Payer ID
XGNDF
Payer ID aliases
07031, 10125, 11029, 14297, 1431, 8598, 94265, 94265M, 94265MA, MEDIC, WIMAN
Parent group
UnitedHealth Group
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

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

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medica to review full payment details.
Supported

Dental claims

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

Unsolicited claim attachments

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