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North Carolina Medicaid

North Carolina Medicaid

This page contains information you can use to exchange healthcare transactions with North Carolina Medicaid using Stedi.
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Use any of the following payer IDs to send transactions to North Carolina Medicaid 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 North Carolina Medicaid 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 North Carolina Medicaid.
Not supported

Coordination of benefits checks

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

Professional claims

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

Institutional claims

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

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from North Carolina Medicaid to review full payment details.
Enrollment process type
Multi-step
Activation timeframe
Weeks
Supported, enrollment required

Dental claims

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

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to North Carolina Medicaid.
Get started
Use Stedi's APIs to get fast and reliable connectivity to North Carolina Medicaid and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and North Carolina Medicaid 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.
  • Medicaid North Carolina
  • NC Medicaid
  • NCDHHS
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