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Medicaid Maryland

Medicaid Maryland

This page contains information you can use to exchange healthcare transactions with Medicaid Maryland using Stedi.
Use any of the following payer IDs to send transactions to Medicaid Maryland using Stedi APIs or SFTP. Read the docs
Primary Payer ID
100198
Stedi Payer ID
YSPCP
Payer ID aliases
100198, 10289, 1488, 526002033, A5260, CKMD1, EMVPZ, MCMD1, MDCAID, MDMCD, QSLKR, SKMD0
Coverage types
Dental, Medical
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

Use Stedi to exchange the following transactions with Medicaid Maryland using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported, enrollment required

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Medicaid Maryland.
Not supported

Coordination of benefits checks

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

Professional claims

(837P)
Submit professional claims to Medicaid Maryland and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Medicaid Maryland to review full payment details.
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Medicaid Maryland.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Medicaid Maryland and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Medicaid Maryland 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.
  • Maryland Department of Health
  • Maryland Medicaid
  • Maryland Medicaid Administration
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