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Moda Health Plan

Moda Health Plan

This page contains information you can use to exchange healthcare transactions with Moda Health Plan using Stedi.
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Use any of the following payer IDs to send transactions to Moda Health Plan using Stedi APIs or SFTP. Read the docs
Primary Payer ID
Stedi Payer ID
Payer ID aliases
,,,,
Coverage types
Dental, Medical, Vision
Operating states
AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY
Covered
Not covered

Supported transactions

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

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Moda Health Plan to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Not supported

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Moda Health Plan.
Get started
Start processing healthcare transactions with Stedi and Moda 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.
  • EOCCO
  • Eastern Oregon Coordinated Care Organization
  • Moda Health
  • ODS Community Dental
  • ODS Health Plan
  • OEA Choice Trust
  • OHSU Health IDS
  • Oregon Dental Service Health Plan
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