Electronic Transactions

Coordinated Care is committed to providing our participating providers with the best tools possible to support their administrative needs.  Our electronic transactions capabilities will speed up the processing and payment of your claims.

PaySpan
Coordinated Care and PaySpan are in partnership to provide an innovative web based solution for Electronic Funds Transfers (EFT’s) and Electronic Remittance Advices (ERA’s).

Secure Web Portal
Partial list of secure website functions include verify member eligibility, check/submit claims and submit/confirm authorizations.

EDI
Electronic Transactions (EDI) support for HIPAA transactions is provided for the health plan by Centene Corporation. Centene is currently receiving professional, institutional, and encounter transactions electronically, as well as generating an electronic remittance advice/explanation of payment (ERA/EOP). To conduct other HIPAA transactions not listed, please contact our EDI department at 1-800-225-2573, ext. 25525.

The following list contains contact information for the trading partners currently active with our health plan. All providers are encouraged to contact one of these trading partners to utilize our electronic transaction options.

Resources:

  • Provider Billing Manual (UPDATED Jan 2015)
  • HIPAA x12 Transactions Standard Companion Guide (UPDATED November 2014)
  • Companion Guide – Addendum A

We work with the following clearinghouses:

  • Availity
  • Gateway
  • Office Ally
  • Capario/Change Healthcare
  • Allscripts/Payerpath
  • IGI
  • Physicians CC
  • Claimsource/ EfficientC
  • Claim Remedi
  • First Health Care
  • Viatrack
  • GHNonline
  • Medassets/Xactimed
  • Practice Insight
  • Smart Data Solutions
  • SSI
  • MD On-Line/Ability
  • CPSI
  • DeKalb
  • Emdeon
  • Relay/Mckesson
  • Trizetto Provider Solutions
  • EDL360
  • Eligibility Inc
  • Claim MD
  • Eligibility
  • Encoda
  • Experian
  • Great Expectations
  • Inmediata
  • Zirmed

Payer IDs:

  • Coordinated Care Medical – 68069

If you have any questions, please contact:

Coordinated Care
c/o Centene EDI Department
(800) 225-2573, ext. 25525 or 314-505-6525

Or by email at EDIBA@centene.com.

To receive Electronic Fund Transfers (EFTs) and Electronic Remittance Advice (ERA – AKA 835) register for PaySpan.