Medicaid District of Columbia

Summary

Medicaid District of Columbia is a dental, medical, and vision payer operating in the District of Columbia. Claims route under payer ID DCMEDICAID, with 7 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.

At a glance

Payer ID

DCMEDICAIDAlso seen as 100121, 10078, 12001, 5550, 77033, DCMCD and 1 more

Also known as

DC Medicaid

Service area

DC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for Medicaid District of Columbia?

The payer ID for Medicaid District of Columbia is DCMEDICAID. Alternate IDs seen across clearinghouses include 100121, 10078, 12001, 5550.

Does Medicaid District of Columbia require ERA enrollment?

Yes. Medicaid District of Columbia requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.

What states does Medicaid District of Columbia cover?

Medicaid District of Columbia operates in DC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does Medicaid District of Columbia offer?

Medicaid District of Columbia covers dental, medical, and vision.

Can I submit claims to Medicaid District of Columbia electronically?

Yes. Medicaid District of Columbia is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).