What is the Stedi payer ID for FirstCare Health Plans?

The Stedi payer ID for FirstCare Health Plans is AXWXT.

What is the primary payer ID for FirstCare Health Plans?

The primary payer ID for FirstCare Health Plans is 10870.

What payer IDs does FirstCare Health Plans use?

In addition to its primary payer ID 10870, FirstCare Health Plans uses several other payer IDs, including 10870, 1995, 7435, 94999, FRTCR, and TH003.

What transactions does FirstCare Health Plans support?

FirstCare Health Plans supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with FirstCare Health Plans?

FirstCare Health Plans requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. FirstCare Health Plans supports COB checks through Stedi.

What other names does FirstCare Health Plans go by?

FirstCare Health Plans is also known as Baylor Scott & White Health, FirstCare, and FirstCare Medicaid.

All payers

PAYER

FirstCare Health Plans

This page contains information you can use to exchange healthcare transactions with FirstCare Health Plans using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to FirstCare Health Plans using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with FirstCare Health Plans 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 FirstCare Health Plans.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to FirstCare Health Plans 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 FirstCare Health Plans in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from FirstCare Health Plans to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Hours

Not supported

Dental claims

(837D)

Submit dental claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to FirstCare Health Plans.

Get started

Use Stedi's APIs to get fast and reliable connectivity to FirstCare Health Plans and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and FirstCare Health Plans today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Baylor Scott & White Health
FirstCare
FirstCare Medicaid

Payer Network

All payers

PAYER

FirstCare Health Plans

This page contains information you can use to exchange healthcare transactions with FirstCare Health Plans using Stedi.

Visit payer website

Use any of the following payer IDs to send transactions to FirstCare Health Plans using Stedi APIs or SFTP. Read the docs

Primary Payer ID

Stedi Payer ID

Payer ID aliases

Coverage types

Dental, Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with FirstCare Health Plans 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 FirstCare Health Plans.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to FirstCare Health Plans 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 FirstCare Health Plans in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from FirstCare Health Plans to review full payment details.

Enrollment process type

Multi-step

Activation timeframe

Hours

Not supported

Dental claims

(837D)

Submit dental claims to FirstCare Health Plans and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to FirstCare Health Plans.

Get started

Use Stedi's APIs to get fast and reliable connectivity to FirstCare Health Plans and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and FirstCare Health Plans today.

Other names

Alternative known names, networks, or health plans for this payer that may appear on insurance cards, claims, or other correspondence.

Baylor Scott & White Health
FirstCare
FirstCare Medicaid